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Pennsylvania rates for HCPCS 28760

Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, Jones type procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.37 / $3,589.00 / $8,240.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.22 / $975.22 / $975.22
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,377.48 / $15,377.48 / $15,377.48
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.00 / $4,597.00 / $8,427.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.22 / $975.22 / $975.22
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.63 / $587.53 / $735.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00