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Oregon rates for HCPCS 28800

Amputation Foot Midtarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.07 / $7,920.26 / $20,400.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $842.00 / $842.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.43 / $1,157.93 / $1,380.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$744.68 / $1,019.23 / $1,330.25
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$754.85 / $1,030.32 / $1,063.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$744.68 / $1,036.38 / $1,348.93
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,245.60 / $9,164.84 / $11,765.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,835.00 / $26,404.00