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Arkansas rates for HCPCS 28810

Amputation, metatarsal, with toe, single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.04 / $1,277.00 / $3,804.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$260.18 / $265.02 / $304.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.56 / $444.68 / $630.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.34 / $607.79 / $686.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,027.36 / $3,027.36 / $3,632.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.08 / $563.86 / $597.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,204.26 / $2,204.26 / $2,204.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.16 / $664.60 / $789.27
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.46 / $698.97 / $789.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.00 / $1,650.00 / $4,064.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.79 / $570.82 / $860.66