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Arizona rates for HCPCS 28805

Amputation, foot; transmetatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,890.45 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $5,370.32 / $7,943.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $977.24 / $4,168.69
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$181.97 / $181.97 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $3,162.28 / $5,370.32