go back

Nebraska rates for HCPCS 28825

Amputation, toe; interphalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.93 / $4,778.89 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.86 / $377.18 / $1,902.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.62 / $593.21 / $628.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,712.35 / $6,198.03 / $11,988.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.38 / $327.20 / $552.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,368.73 / $2,368.73 / $2,368.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.78 / $566.45 / $915.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.83 / $447.03 / $1,174.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.54 / $919.00 / $1,792.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.34 / $856.76 / $2,842.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.99 / $786.37 / $1,106.80
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.12 / $317.55 / $580.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.32 / $991.07 / $1,423.07