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Pennsylvania rates for HCPCS 28820

Amputation, toe; metatarsophalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.52 / $2,128.00 / $9,121.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.25 / $323.10 / $690.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.08 / $202.70 / $273.58
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,292.00 / $5,951.00 / $9,100.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.08 / $300.00 / $727.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.76 / $304.76 / $304.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.21 / $409.42 / $761.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.91 / $455.26 / $590.58
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,518.11 / $8,516.52 / $14,894.68
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.39 / $196.39 / $591.48
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.94 / $2,467.00 / $8,609.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.52 / $337.21 / $835.03
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.33 / $621.79 / $783.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.76 / $304.76 / $304.76
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.88 / $410.61 / $812.15
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.52 / $288.66 / $520.60
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.52 / $282.45 / $425.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.69 / $614.48 / $1,094.77