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Idaho rates for HCPCS 28825

Amputation, toe; interphalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.38 / $4,500.00 / $8,773.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.20 / $430.38 / $630.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.78 / $1,895.78 / $1,901.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.30 / $435.31 / $670.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.94 / $492.89 / $1,005.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.52 / $461.67 / $613.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $400.77 / $504.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,515.72 / $7,849.65 / $9,927.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.89 / $423.06 / $685.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $5,550.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.48 / $816.20 / $1,200.83