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West Virginia rates for HCPCS 28800

Amputation Foot Midtarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.16 / $800.02 / $2,300.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$561.95 / $619.55 / $675.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.91 / $600.91 / $600.91