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West Virginia rates for HCPCS 28545

Closed treatment of tarsal bone dislocation, other than talotarsal; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.75 / $412.93 / $1,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.75 / $309.76 / $447.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.89 / $319.77 / $348.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.63 / $309.70 / $309.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.46 / $466.46 / $466.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.95 / $349.84 / $803.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.03 / $274.45 / $466.46