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Missouri rates for HCPCS 28800

Amputation, foot; midtarsal (eg, Chopart type procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $5,389.00 / $12,154.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,449.00 / $10,043.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.41 / $803.35 / $3,347.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,708.00 / $3,502.00 / $6,944.00