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North Dakota rates for HCPCS 28805

Amputation, foot; transmetatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.68 / $720.68 / $8,500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.68 / $860.41 / $1,195.97