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Virginia rates for HCPCS 28800

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.07 / $5,388.00 / $11,024.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,887.00 / $10,189.50 / $13,875.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.91 / $600.91 / $640.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.80 / $648.70 / $750.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.54 / $726.12 / $1,103.61
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.29 / $708.53 / $2,333.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,121.00 / $9,270.00 / $17,192.00