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West Virginia rates for HCPCS 28645

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $616.60 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $588.84 / $1,023.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $616.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $707.95 / $3,019.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $512.86 / $870.96