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Texas rates for HCPCS 28805

Amputation, foot; transmetatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $3,548.13 / $12,022.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $4,265.80 / $8,317.64
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $3,548.13 / $3,548.13
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $7,762.47
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$776.25 / $776.25 / $776.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,000.00 / $3,981.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $891.25 / $1,584.89
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$120.23 / $120.23 / $120.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $4,073.80 / $8,709.64