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California rates for HCPCS 28755

Arthrodesis, great toe; interphalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.55 / $6,423.00 / $17,809.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,456.00 / $7,362.00 / $16,106.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $10,063.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,813.00 / $6,894.76 / $12,348.83
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.51 / $441.97 / $846.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.56 / $553.22 / $956.38
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,589.00 / $1,728.86 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.12 / $534.19 / $808.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,523.00 / $7,359.00 / $15,471.00