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Texas rates for HCPCS 28750

Arthrodesis, great toe; metatarsophalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.00 / $3,563.00 / $12,040.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.00 / $736.24 / $1,191.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.98 / $549.77 / $939.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,264.12 / $9,212.20 / $18,065.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.64 / $718.71 / $994.71
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.00 / $6,604.14 / $12,074.08
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.75 / $707.98 / $1,153.07
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.72 / $5,700.09 / $5,700.09
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
$621.25 / $900.53 / $1,397.40
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,722.60 / $11,500.00 / $26,542.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$264.92 / $292.27 / $292.27
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,220.47 / $5,611.44 / $6,523.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.87 / $837.18 / $1,318.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.73 / $990.61 / $1,347.03
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.02 / $1,079.30 / $2,169.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.50 / $845.85 / $1,327.83
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$298.83 / $298.83 / $298.83
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$97.86 / $97.86 / $254.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.05 / $957.14 / $1,506.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,605.00 / $7,184.00 / $16,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.72 / $871.19 / $1,356.64
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.05 / $727.98 / $1,020.98