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New York rates for HCPCS 28805

Amputation, foot; transmetatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.67 / $4,260.00 / $10,577.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,248.00 / $5,196.00 / $11,909.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.19 / $1,008.19 / $8,917.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.35 / $806.35 / $806.35
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$78.93 / $78.93 / $78.93
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $865.00 / $1,812.80
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.46 / $663.46 / $663.46
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,439.96 / $5,439.96 / $5,439.96
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $806.35
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$78.93 / $78.93 / $78.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,840.00 / $9,416.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.56 / $848.56 / $2,678.07