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Iowa rates for HCPCS 28805

Amputation Foot Transmetarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,496.00 / $4,964.00 / $7,119.04
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.73 / $994.56 / $1,968.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.14 / $1,731.90 / $7,155.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$736.98 / $736.98 / $736.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.88 / $1,548.74 / $2,183.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $5,327.00 / $8,342.00