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Missouri rates for HCPCS 28805

Amputation, foot; transmetatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$844.87 / $3,520.00 / $7,996.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$621.45 / $1,050.40 / $3,500.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$182.01 / $182.01 / $736.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.00 / $2,874.00 / $5,829.00