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West Virginia rates for HCPCS 28420

Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,276.17 / $1,400.00 / $2,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.05 / $1,360.64 / $1,913.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,367.96 / $1,526.22 / $1,662.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.34 / $1,478.08 / $1,478.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,466.37 / $1,466.37 / $1,466.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.95 / $1,810.65 / $3,597.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.80 / $1,509.00 / $2,066.87