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Illinois rates for HCPCS 28800

Amputation Foot Midtarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.00 / $2,660.00 / $5,549.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,180.68 / $6,803.60 / $13,624.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.72 / $895.28 / $2,486.48
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,600.00 / $4,469.00 / $8,566.00