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Michigan rates for HCPCS 28825

Amputation, toe; interphalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.71 / $379.33 / $4,961.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.21 / $377.80 / $606.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.96 / $176.96 / $252.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,278.12 / $3,847.54 / $5,212.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.22 / $194.21 / $427.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.03 / $442.75 / $704.49
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.71 / $548.41 / $4,961.08
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.72 / $466.42 / $759.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.27 / $271.92 / $385.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $5,806.00 / $8,339.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.64 / $645.34 / $751.26