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West Virginia rates for HCPCS 28264

Capsulotomy, midtarsal (eg, Heyman type procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.73 / $1,049.46 / $1,317.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.72 / $812.72 / $885.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90