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Indiana rates for HCPCS 28825

Amputation Toe Interphalangeal Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.41 / $1,519.10 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.41 / $285.30 / $545.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.26 / $180.32 / $221.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.00 / $5,570.00 / $13,758.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.70 / $314.63 / $446.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.16 / $205.62 / $360.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.06 / $287.17 / $391.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,116.34 / $2,116.34 / $2,508.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.29 / $396.71 / $665.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,032.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.14 / $574.79 / $1,026.74