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New York rates for HCPCS 28800

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.62 / $4,629.00 / $10,674.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,746.00 / $9,656.00 / $15,887.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.57 / $750.57 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.91 / $600.91 / $600.91
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $865.00 / $1,384.00
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.46 / $498.46 / $498.46
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $600.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,248.00 / $11,200.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.77 / $636.77 / $2,666.40