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Indiana rates for HCPCS 28800

Amputation Foot Midtarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.71 / $1,391.00 / $14,063.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,778.00 / $11,532.55 / $30,900.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.90 / $679.28 / $1,018.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,348.00 / $12,569.00