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Pennsylvania rates for HCPCS 28755

Arthrodesis Great Toe Interphalangeal Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.52 / $2,747.00 / $8,240.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,292.00 / $5,951.00 / $9,100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.08 / $574.08 / $574.08
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,827.45 / $14,045.14 / $33,446.79
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.16 / $3,830.00 / $8,404.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.08 / $574.08 / $574.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.80 / $416.21 / $488.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00