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Pennsylvania rates for HCPCS 28810

Amputation Metatarsal W/Toe Single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.23 / $2,747.00 / $7,763.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$197.24 / $218.59 / $218.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.88 / $434.66 / $900.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.83 / $415.63 / $797.66
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.76 / $438.71 / $438.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.35 / $480.35 / $480.35
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$379.98 / $379.98 / $379.98
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$47.50 / $47.50 / $47.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.85 / $530.58 / $864.23
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.21 / $661.69 / $853.63
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,051.11 / $7,644.26 / $27,931.90
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.37 / $429.62 / $496.93
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.00 / $2,775.20 / $8,017.00
Martin's Point
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$218.59 / $218.59 / $218.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.17 / $474.30 / $1,149.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.62 / $609.79 / $866.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.35 / $480.35 / $480.35
Priority Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$379.98 / $379.98 / $379.98
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$47.50 / $47.50 / $47.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.86 / $538.41 / $894.55
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.23 / $412.23 / $525.26
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.99 / $413.91 / $525.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.59 / $528.07 / $810.27