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North Dakota rates for HCPCS 28750

Arthrodesis, great toe; metatarsophalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.33 / $4,912.01 / $7,840.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.41 / $724.30 / $1,074.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.67 / $1,489.17 / $1,943.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.97 / $1,496.70 / $2,413.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.29 / $943.30 / $1,374.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.70 / $1,482.88 / $4,322.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.70 / $1,477.33 / $2,108.19