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Virginia rates for HCPCS 28755

Arthrodesis, great toe; interphalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $3,235.94 / $9,549.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $13,182.57 / $15,488.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,148.15 / $1,380.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $707.95 / $1,202.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $562.34 / $954.99
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $446.68 / $6,918.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $7,244.36 / $14,125.38