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West Virginia rates for HCPCS 28715

Arthrodesis; triple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,432.08 / $6,546.16 / $6,546.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.28 / $1,109.04 / $1,208.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,067.22 / $1,067.22 / $1,067.22
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$105.84 / $105.84 / $105.84
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,109.97 / $4,109.97 / $4,109.97