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West Virginia rates for HCPCS 28805

Amputation, foot; transmetatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,077.42 / $16,126.64 / $16,126.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.78 / $834.38 / $909.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.35 / $806.35 / $806.35
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$78.93 / $78.93 / $78.93