go back

Ohio rates for HCPCS 28805

Amputation, foot; transmetatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.22 / $5,597.00 / $11,627.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,712.00 / $3,528.00 / $14,996.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.17 / $803.64 / $1,067.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.35 / $806.35 / $806.35
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$78.93 / $78.93 / $78.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,233.00 / $4,223.00 / $6,522.00