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Tennessee rates for HCPCS 28810

Amputation, metatarsal, with toe, single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.00 / $2,311.00 / $7,602.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$189.27 / $411.69 / $564.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.55 / $435.29 / $699.30
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.85 / $422.90 / $607.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,917.00 / $3,611.00 / $5,959.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.50 / $580.15 / $911.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.91 / $615.01 / $929.46
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,567.08 / $8,957.00 / $16,394.00
Lucent Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$870.38 / $6,791.96 / $6,791.96
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$108.80 / $849.00 / $849.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,259.28 / $3,366.84 / $3,564.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.00 / $3,626.00 / $6,291.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.99 / $529.84 / $920.88