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Maryland rates for HCPCS 28810

Amputation, metatarsal, with toe, single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.88 / $2,495.98 / $4,417.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.88 / $434.66 / $1,147.52
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.27 / $473.27 / $560.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.00 / $453.73 / $1,490.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.43 / $580.76 / $965.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.88 / $567.86 / $810.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.00 / $520.00 / $733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.96 / $493.53 / $916.70
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.18 / $506.23 / $626.76