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Virginia rates for HCPCS 28805

Amputation, foot; transmetatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $4,786.30 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $6,760.83 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $776.25 / $933.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $977.24 / $1,621.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $933.25 / $1,380.38
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $912.01 / $6,918.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $7,079.46 / $14,125.38