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West Virginia rates for HCPCS 28750

Arthrodesis, great toe; metatarsophalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,522.96 / $5,152.14 / $14,843.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.59 / $777.38 / $1,227.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.29 / $673.34 / $733.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.73 / $652.10 / $652.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$978.60 / $978.60 / $978.60
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$97.86 / $97.86 / $97.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.08 / $889.42 / $2,237.08
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,098.91 / $16,828.93 / $40,033.76
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.25 / $846.23 / $930.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.17 / $956.04 / $1,284.56