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Louisiana rates for HCPCS 28810

Amputation Metatarsal W/Toe Single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.69 / $1,520.00 / $3,728.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$267.35 / $279.02 / $470.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.43 / $558.04 / $754.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.14 / $407.20 / $773.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,699.40 / $4,758.51 / $6,578.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.87 / $547.79 / $800.69
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.04 / $3,612.28 / $3,612.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.00 / $725.00 / $725.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.19 / $589.24 / $814.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $7,085.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.47 / $491.07 / $897.01