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West Virginia rates for HCPCS 28495

Closed treatment of fracture great toe, phalanx or phalanges; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.31 / $168.27 / $226.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.16 / $169.55 / $169.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.97 / $217.02 / $482.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.22 / $190.92 / $268.00