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West Virginia rates for HCPCS 28400

Closed Tx Calcaneal Fracture W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.93 / $825.32 / $825.32
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$164.33 / $176.35 / $278.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.50 / $248.60 / $433.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.73 / $268.67 / $292.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.97 / $260.20 / $260.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.02 / $394.02 / $394.02
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$275.81 / $275.81 / $275.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.26 / $325.25 / $670.80
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.83 / $506.62 / $566.53
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.48 / $342.04 / $411.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.56 / $672.56 / $672.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.13 / $290.77 / $388.72