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Washington, DC rates for HCPCS 28810

Amputation, metatarsal, with toe, single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $3,575.00 / $4,601.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$217.33 / $217.33 / $217.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.47 / $434.66 / $1,051.86
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.27 / $473.27 / $2,642.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.44 / $689.53 / $1,165.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.03 / $965.29 / $965.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.00 / $2,343.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.96 / $574.07 / $1,168.70