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West Virginia rates for HCPCS 28210

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.44 / $636.53 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.08 / $492.95 / $537.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.48 / $718.48 / $718.48