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West Virginia rates for HCPCS 28200

Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.05 / $512.99 / $14,698.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.66 / $441.93 / $707.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.89 / $381.90 / $416.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.23 / $369.85 / $369.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.83 / $557.83 / $557.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.34 / $530.46 / $1,323.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,945.93 / $6,784.00 / $13,042.45
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.13 / $481.13 / $642.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.96 / $477.41 / $729.38