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Connecticut rates for HCPCS 28810

Amputation Metatarsal W/Toe Single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,411.00 / $5,194.00 / $8,031.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$323.49 / $323.49 / $402.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.17 / $444.68 / $1,135.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,410.00 / $6,763.00 / $11,830.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.98 / $824.18 / $1,150.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.00 / $4,326.79 / $4,326.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.05 / $767.65 / $1,070.55
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,296.00 / $4,588.00 / $4,682.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.80 / $639.66 / $801.11
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.58 / $875.82 / $1,092.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,565.00 / $6,647.00 / $9,973.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.80 / $750.67 / $1,240.94