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Maryland rates for HCPCS 28825

Amputation, toe; interphalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.28 / $1,937.39 / $3,866.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.74 / $356.25 / $1,451.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.03 / $236.96 / $404.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.00 / $453.73 / $1,490.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.18 / $422.01 / $819.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.14 / $384.60 / $694.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.00 / $520.00 / $733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.04 / $600.03 / $960.05
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.84 / $342.86 / $424.94