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North Carolina rates for HCPCS 28755

Arthrodesis, great toe; interphalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.66 / $798.30 / $7,968.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,426.56 / $1,426.56 / $2,038.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.70 / $748.70 / $6,025.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.52 / $590.27 / $861.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,661.00 / $7,659.00 / $10,502.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.12 / $1,728.86 / $26,542.00