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Indiana rates for HCPCS 28810

Amputation, metatarsal, with toe, single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.22 / $3,665.23 / $7,212.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$197.11 / $197.11 / $325.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.55 / $408.47 / $670.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.38 / $384.50 / $480.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.00 / $5,570.00 / $13,758.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.94 / $483.91 / $687.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.61 / $499.99 / $576.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.61 / $448.56 / $576.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,116.34 / $2,116.34 / $2,508.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.54 / $562.14 / $886.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,032.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.14 / $482.38 / $858.48