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West Virginia rates for HCPCS A5510

For diabetics only, direct formed, compression molded to patient's foot without external heat source, multiple-density insert(s) prefabricated, per shoe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.08 / $33.26 / $58.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.24 / $30.24 / $51.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.74 / $32.74 / $32.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.90 / $30.18 / $32.74