go back

Michigan rates for HCPCS 28805

Amputation Foot Transmetarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.05 / $4,112.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,932.51 / $3,441.90 / $4,663.22
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,582.37 / $2,432.66 / $3,161.79
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.02 / $4,112.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $5,806.00 / $8,339.00