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Idaho rates for HCPCS 28805

Amputation, foot; transmetatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $4,466.84 / $5,495.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,801.89 / $8,511.38
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,548.13 / $5,495.41 / $12,589.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,122.02 / $1,905.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $7,244.36 / $10,232.93
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,317.64 / $11,748.98 / $15,488.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $5,495.41 / $12,302.69