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Cleft Foot Reconstruction

West Virginia rates for HCPCS 28360

Surgery to rebuild a foot that is deeply split down the middle, a difference present from birth. The surgeon repositions bone and soft tissue and closes the gap so the foot has a more usual shape and can take weight and fit into a shoe.

Rates data updated July 2026.

How much does Cleft Foot Reconstruction cost?

$1,148

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $1,148 for this service. The price depends on where it is billed: about $1,148 from a physician practice, and about $1,072 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,148$1,047 to $1,230
FacilityA hospital or hospital-owned outpatient department$1,072$1,072 to $1,413

How much rates vary

Facilitymedian $1,072 · 10th to 90th $1,072 to $1,778Professionalmedian $1,148 · 10th to 90th $1,000 to $1,549
$50$200$1K$5K$20Kfacility $1,072professional $1,148

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,148.15
Typical High
$1,230.27
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,412.54
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,778.28
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,584.89
Typical High
$6,165.95
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$7,943.28
Typical High
$20,417.38
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,122.02
Typical High
$1,659.59

Where West Virginia sits

The same service costs 6.3 times more in California than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 45th of 51

$1,148

CA $6,457KY $1,023

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.