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Ohio rates for HCPCS 28800

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.78 / $5,201.00 / $11,627.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,275.00 / $8,403.62 / $17,308.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.84 / $600.42 / $797.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.91 / $600.91 / $600.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,840.00 / $5,625.00 / $7,847.00