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Virginia rates for HCPCS 28810

Amputation, metatarsal, with toe, single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.35 / $3,645.00 / $8,294.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$217.33 / $241.75 / $574.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.98 / $483.50 / $817.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.95 / $500.68 / $827.77
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.27 / $511.13 / $3,448.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.35 / $480.35 / $572.00
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
$413.77 / $574.37 / $940.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.68 / $516.71 / $601.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.66 / $570.13 / $821.95
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$77.89 / $104.95 / $156.61
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.00 / $616.00 / $862.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.18 / $559.30 / $1,870.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.18 / $559.30 / $1,870.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,651.00 / $6,870.00 / $12,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.38 / $529.37 / $819.70