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Louisiana rates for HCPCS 28810

Amputation, metatarsal, with toe, single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,698.24 / $4,168.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $467.74 / $912.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $407.38 / $549.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $4,786.30 / $6,606.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $549.54 / $691.83
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $2,754.23 / $2,754.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $602.56 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,630.27 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $478.63 / $776.25