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Pennsylvania rates for HCPCS 28825

Amputation, toe; interphalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.88 / $2,747.00 / $8,600.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.50 / $363.12 / $817.61
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.29 / $166.29 / $230.43
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.44 / $294.14 / $975.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.22 / $297.22 / $297.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.78 / $387.13 / $737.64
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.38 / $446.60 / $579.29
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,061.60 / $7,992.42 / $14,103.35
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.29 / $190.01 / $292.33
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.23 / $3,003.57 / $8,754.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.00 / $377.18 / $1,033.82
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.98 / $548.70 / $769.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.22 / $297.22 / $297.22
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.13 / $387.13 / $777.91
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.96 / $282.45 / $495.33
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.96 / $276.60 / $385.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.39 / $586.86 / $1,017.90