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West Virginia rates for HCPCS E1815

Dynamic adjustable ankle extension and flexion device, includes soft interface material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.34 / $1,159.34 / $1,159.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.41 / $1,091.09 / $1,406.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.75 / $238.33 / $1,316.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.04 / $123.58 / $1,418.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.00 / $99.82 / $99.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.85 / $99.82 / $121.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.07 / $126.34 / $773.16