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Missouri rates for HCPCS 28750

Arthrodesis, great toe; metatarsophalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.10 / $3,981.45 / $12,237.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.33 / $725.04 / $2,161.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.06 / $698.96 / $741.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,232.00 / $4,517.00 / $20,057.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.24 / $681.95 / $1,111.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,956.00 / $17,112.00 / $20,580.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.96 / $911.80 / $1,564.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.88 / $982.60 / $4,772.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$264.92 / $264.92 / $264.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.34 / $1,211.61 / $5,798.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,463.00 / $12,989.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.03 / $1,003.56 / $1,673.36