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Michigan rates for HCPCS 28820

Amputation, toe; metatarsophalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $3,019.95 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $346.74 / $851.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $154.88 / $426.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $398.11 / $398.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $380.19 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $426.58 / $724.44
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $2,884.03 / $6,918.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $389.05 / $812.83
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $316.23 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $4,786.30 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $524.81 / $741.31