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Minnesota rates for HCPCS 28805

Amputation Foot Transmetarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.49 / $700.49 / $4,828.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,142.83 / $6,134.65 / $11,966.76
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,380.66 / $11,198.08 / $19,634.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,703.02 / $2,416.34 / $5,812.84
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$78.93 / $78.93 / $78.93
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.20 / $2,209.12 / $4,577.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.32 / $1,195.97 / $2,735.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$182.01 / $182.01 / $182.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,412.00 / $4,746.00 / $8,812.00