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West Virginia rates for HCPCS 28575

Closed Tx Talotarsal Joint Dislocation W/Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.11 / $518.24 / $1,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.11 / $372.28 / $534.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.22 / $401.34 / $437.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.46 / $388.68 / $388.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.02 / $584.02 / $584.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.44 / $453.47 / $992.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.59 / $364.46 / $572.66