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West Virginia rates for HCPCS 28202

Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.50 / $4,907.29 / $9,519.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.28 / $506.83 / $552.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.66 / $739.66 / $739.66
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.39 / $2,031.39 / $2,031.39