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West Virginia rates for HCPCS 28450

Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.48 / $227.48 / $288.99
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$136.88 / $150.47 / $237.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.38 / $205.10 / $324.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.95 / $223.81 / $243.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.88 / $216.74 / $216.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.64 / $328.64 / $328.64
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$230.05 / $230.05 / $230.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.05 / $270.94 / $581.62
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.83 / $195.83 / $195.83
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.87 / $447.87 / $449.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.25 / $248.96 / $343.67