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Louisiana rates for HCPCS 28805

Amputation, foot; transmetatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,089.30 / $4,677.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $5,248.07 / $7,244.36
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $3,548.13 / $3,548.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,630.27 / $6,606.93