go back

New Jersey rates for HCPCS 28750

Arthrodesis, great toe; metatarsophalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $7,079.46 / $13,182.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $933.25 / $3,311.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $933.25 / $2,089.30
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,288.25 / $1,778.28
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,791.08 / $22,908.68 / $36,307.81
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $933.25 / $3,019.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $10,000.00 / $25,118.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $812.83 / $1,819.70