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Wisconsin rates for HCPCS 28805

Amputation, foot; transmetatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $691.83 / $8,128.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,943.28 / $12,589.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,137.96 / $3,388.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,412.54 / $10,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,479.11 / $8,317.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,548.82 / $2,344.23
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $7,762.47 / $7,762.47
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$512.86 / $512.86 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11