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Arkansas rates for HCPCS 28805

Amputation, foot; transmetatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.75 / $1,632.00 / $4,478.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,027.36 / $3,027.36 / $3,632.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,204.26 / $2,204.26 / $2,204.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.00 / $1,650.00 / $4,233.00