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West Virginia rates for HCPCS 28615

Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.71 / $1,351.80 / $6,203.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.49 / $965.30 / $1,051.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$939.63 / $939.63 / $939.63
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$93.73 / $93.73 / $93.73
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,663.93 / $5,692.94 / $16,158.20