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Nebraska rates for HCPCS 28805

Amputation Foot Transmetarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,083.97 / $8,477.27 / $19,276.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,362.84 / $10,999.42 / $21,276.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.89 / $1,175.20 / $6,451.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$182.01 / $736.98 / $736.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$867.19 / $1,548.74 / $2,183.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00