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Georgia rates for HCPCS 28805

Amputation Foot Transmetarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,209.47 / $5,063.00 / $7,421.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,140.78 / $3,272.95 / $6,339.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.99 / $1,461.84 / $1,988.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $806.35 / $2,500.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$78.93 / $78.93 / $78.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.39 / $1,155.86 / $1,720.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$27.52 / $27.52 / $27.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,075.00 / $4,826.00 / $7,889.00