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California rates for HCPCS 28805

Amputation, foot; transmetatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $7,585.78 / $18,197.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $8,128.31 / $15,848.93
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $2,570.40 / $6,918.31
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $741.31 / $1,000.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $794.33 / $1,479.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $7,762.47
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$776.25 / $776.25 / $776.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $891.25 / $1,412.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $7,413.10 / $15,135.61