go back

Maryland rates for HCPCS 28750

Arthrodesis, great toe; metatarsophalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.35 / $4,738.60 / $9,446.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.38 / $777.38 / $2,161.14
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.07 / $650.53 / $730.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $641.21 / $4,676.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.41 / $890.19 / $1,765.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.87 / $1,039.57 / $1,377.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.00 / $1,003.00 / $2,156.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.63 / $940.64 / $1,728.77
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.34 / $926.75 / $1,146.06