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Nebraska rates for HCPCS 28800

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,362.84 / $10,999.42 / $21,276.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.27 / $892.94 / $2,485.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.63 / $1,230.95 / $1,627.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00