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Indiana rates for HCPCS 28805

Amputation, foot; transmetatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.61 / $4,138.43 / $11,093.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,411.35 / $7,572.00 / $18,942.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.98 / $903.11 / $1,354.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,032.00 / $10,413.00