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West Virginia rates for HCPCS 28305

Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$665.78 / $1,026.42 / $1,700.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.81 / $794.88 / $866.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.69 / $769.69 / $769.69