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Massachusetts rates for HCPCS 28805

Amputation Foot Transmetarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.00 / $2,447.48 / $4,355.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.35 / $2,609.40 / $6,509.88
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$182.01 / $182.01 / $736.98
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.12 / $1,490.44 / $6,679.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,341.72 / $4,341.72 / $4,341.72
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $9,039.00
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$182.01 / $182.01 / $736.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,764.00 / $8,766.00