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Missouri rates for HCPCS 28820

Amputation, toe; metatarsophalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.21 / $2,035.59 / $5,691.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.88 / $298.77 / $659.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.77 / $198.79 / $341.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.69 / $410.00 / $591.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.54 / $460.12 / $853.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.02 / $418.29 / $3,006.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.79 / $798.61 / $3,229.91
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.60 / $297.60 / $297.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,742.00 / $2,566.31 / $5,200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.18 / $624.35 / $1,045.79