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West Virginia rates for HCPCS 28530

Closed Treatment Sesamoid Fracture

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.04 / $107.26 / $173.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.70 / $117.06 / $117.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.95 / $148.94 / $309.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.56 / $135.96 / $184.61