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West Virginia rates for HCPCS 28446

Open osteochondral autograft, talus (includes obtaining graft[s])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.51 / $1,400.00 / $2,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.75 / $1,275.33 / $1,810.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,299.23 / $1,454.28 / $1,584.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.69 / $1,408.40 / $1,408.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,387.75 / $1,387.75 / $1,387.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,183.90 / $1,725.34 / $3,529.12
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,224.74 / $11,224.74 / $11,224.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.90 / $1,367.10 / $1,890.80