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West Virginia rates for HCPCS 28740

Arthrodesis, midtarsal or tarsometatarsal, single joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,273.23 / $4,779.89 / $6,897.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.12 / $722.62 / $787.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.86 / $1,048.86 / $1,048.86
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$104.89 / $104.89 / $104.89
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,579.33 / $4,579.33 / $4,579.33