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North Carolina rates for HCPCS 28800

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $2,041.74 / $10,471.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $977.24 / $1,230.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $724.44 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $9,549.93 / $14,454.40
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $3,311.31 / $3,311.31