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West Virginia rates for HCPCS 28825

Amputation, toe; interphalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.27 / $6,260.87 / $8,836.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.89 / $377.18 / $630.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.36 / $205.87 / $224.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.51 / $199.38 / $199.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.22 / $297.22 / $297.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.38 / $421.30 / $1,150.06
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,006.20 / $8,215.31 / $14,505.74
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.00 / $252.62 / $380.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.26 / $529.09 / $866.00