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West Virginia rates for HCPCS 28106

Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or other autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.63 / $645.05 / $1,700.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.63 / $432.50 / $634.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.22 / $499.55 / $544.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.33 / $483.79 / $483.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.10 / $487.10 / $487.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.34 / $637.94 / $1,254.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.98 / $524.29 / $773.96