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Idaho rates for HCPCS 28800

Amputation Foot Midtarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,422.00 / $4,500.00 / $8,622.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.95 / $1,057.09 / $1,316.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,379.50 / $4,245.60 / $7,005.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $9,360.00 / $17,870.00