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New York rates for HCPCS 28755

Arthrodesis, great toe; interphalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.09 / $3,797.00 / $10,170.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,749.00 / $9,877.00 / $16,490.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.49 / $2,390.00 / $10,957.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.08 / $574.08 / $574.08
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.00 / $361.71 / $880.74
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.26 / $470.26 / $470.26
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $574.08 / $597.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,840.00 / $9,416.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.01 / $406.01 / $1,606.23