go back

North Carolina rates for HCPCS 28805

Amputation, foot; transmetatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $3,548.13 / $8,128.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $977.24 / $1,621.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $912.01 / $1,412.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $6,918.31 / $10,471.29
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $7,762.47 / $7,762.47
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$776.25 / $776.25 / $776.25