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West Virginia rates for HCPCS 28260

Capsulotomy, midfoot; medial release only (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.02 / $816.83 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.80 / $632.58 / $689.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$916.89 / $916.89 / $916.89
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$91.69 / $91.69 / $91.69