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Idaho rates for HCPCS 28750

Arthrodesis, great toe; metatarsophalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $7,762.47 / $18,620.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,047.13 / $2,754.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $8,511.38 / $18,620.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,202.26 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $5,888.44 / $6,025.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $954.99 / $1,380.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,318.26 / $7,762.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,348.96 / $2,089.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $16,218.10 / $22,908.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,202.26 / $1,698.24
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,071.52 / $9,772.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $11,748.98 / $29,512.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,000.00 / $1,548.82