go back

Minnesota rates for HCPCS 28805

Amputation, foot; transmetatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $4,570.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $7,585.78 / $16,218.10
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,585.78 / $13,803.84 / $34,673.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,570.40 / $6,025.60
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$120.23 / $120.23 / $120.23
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,454.71 / $4,786.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,318.26 / $6,760.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,248.07 / $8,912.51