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Texas rates for HCPCS 28755

Arthrodesis Great Toe Interphalangeal Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.29 / $3,445.00 / $10,608.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,948.09 / $8,853.29 / $17,646.75
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.94 / $1,494.52 / $8,697.79
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.77 / $5,655.43 / $5,655.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.08 / $574.08 / $574.08
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,589.00 / $11,500.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.91 / $515.37 / $801.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.27 / $515.91 / $815.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,326.00 / $7,600.00