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Wyoming rates for HCPCS 28810

Amputation, metatarsal, with toe, single

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.02 / $428.18 / $537.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,767.20 / $2,767.20 / $2,767.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.00 / $976.00 / $1,477.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.83 / $856.37 / $1,178.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,607.00 / $2,607.00 / $10,877.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.37 / $861.61 / $1,543.09