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Texas rates for HCPCS 28800

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.70 / $3,682.00 / $12,941.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.54 / $909.61 / $3,035.28
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $481.69 / $486.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.91 / $600.91 / $600.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $2,652.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.52 / $700.16 / $1,148.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.60 / $704.96 / $1,156.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,345.00 / $10,600.00