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Alaska rates for HCPCS 28825

Amputation, toe; interphalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$826.55 / $6,825.52 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.38 / $599.78 / $1,401.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.56 / $1,227.92 / $1,712.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.12 / $886.66 / $1,962.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.02 / $839.40 / $1,686.75
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.00 / $1,330.00 / $3,036.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.12 / $975.33 / $1,962.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.13 / $1,702.40 / $3,036.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,369.68 / $2,347.54 / $3,013.30