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Alaska rates for HCPCS 28810

Amputation, metatarsal, with toe, single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,872.00 / $7,340.00 / $13,413.92
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$616.08 / $616.08 / $616.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.43 / $803.46 / $2,663.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.28 / $1,432.09 / $1,804.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.83 / $2,089.79 / $2,925.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.48 / $1,240.17 / $2,517.66
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,545.00 / $2,127.64 / $2,548.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.83 / $2,089.79 / $2,925.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.91 / $2,077.35 / $2,725.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,145.68 / $1,728.38 / $2,520.50