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West Virginia rates for HCPCS 28173

Radical Resection Tumor Metatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.31 / $1,104.54 / $1,700.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.31 / $727.64 / $1,120.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.38 / $855.40 / $931.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.97 / $828.41 / $828.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$833.15 / $833.15 / $833.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.28 / $973.90 / $2,098.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.13 / $817.42 / $1,161.51