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West Virginia rates for HCPCS 28630

Closed treatment of metatarsophalangeal joint dislocation; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.34 / $149.72 / $239.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.62 / $128.08 / $128.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.12 / $172.91 / $427.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.62 / $162.86 / $230.54