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Pennsylvania rates for HCPCS 28750

Arthrodesis, great toe; metatarsophalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.48 / $5,537.00 / $19,224.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.38 / $756.81 / $1,298.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.35 / $659.45 / $791.34
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.90 / $1,093.68 / $1,464.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$978.60 / $978.60 / $978.60
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$97.86 / $97.86 / $97.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.82 / $823.08 / $1,346.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.36 / $1,210.67 / $1,565.52
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,051.75 / $17,440.80 / $32,020.43
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.73 / $590.21 / $892.88
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.00 / $5,052.00 / $18,891.37
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.59 / $815.48 / $1,528.48
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.50 / $924.40 / $1,769.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$978.60 / $978.60 / $978.60
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$97.86 / $97.86 / $97.86
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.49 / $829.39 / $1,396.42
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.13 / $615.16 / $756.68
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.13 / $731.20 / $807.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.85 / $957.44 / $1,596.94