go back

Ohio rates for HCPCS 28755

Arthrodesis, great toe; interphalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.50 / $5,072.00 / $12,492.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,674.00 / $6,565.00 / $30,285.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.79 / $383.47 / $509.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.08 / $574.08 / $574.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,233.00 / $4,223.00 / $6,522.00