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Illinois rates for HCPCS 28805

Amputation Foot Transmetarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $2,157.00 / $6,122.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,227.81 / $7,560.16 / $16,489.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.17 / $1,175.03 / $2,564.36
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.00 / $3,671.00 / $6,514.00