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New York rates for HCPCS 28750

Arthrodesis, great toe; metatarsophalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $4,677.35 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $870.96 / $2,951.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $11,481.54 / $18,620.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $812.83 / $2,041.74
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $2,398.83 / $10,964.78
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$97.72 / $97.72 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,047.13 / $2,818.38
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $645.65 / $1,621.81
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,659.59 / $2,344.23
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $977.24 / $1,659.59
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $9,332.54 / $21,379.62
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $831.76 / $1,071.52
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $1,047.13 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $6,456.54 / $16,982.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $851.14 / $2,137.96
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $691.83 / $2,344.23
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $933.25 / $1,819.70