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Washington 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
$1,014.82 / $2,148.17 / $22,024.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,709.40 / $19,823.93 / $38,781.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.20 / $1,075.31 / $8,315.84
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.00 / $1,305.83 / $6,240.53
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$906.51 / $1,497.33 / $1,553.73
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,021.52 / $1,059.78 / $8,497.21
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,146.66 / $20,262.22 / $38,781.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $6,096.98 / $19,271.00