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West Virginia rates for HCPCS L0700

Cervical-thoracic-lumbar-sacral orthosis (CTLSO), anterior-posterior-lateral control, molded to patient model, (Minerva type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,189.83 / $1,189.83 / $1,189.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.16 / $1,138.73 / $1,229.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.30 / $3,109.16 / $4,030.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,497.00 / $1,825.71 / $3,129.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,703.99 / $1,703.99 / $3,056.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.91 / $1,703.99 / $12,062.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,520.62 / $1,520.62 / $1,520.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.37 / $1,225.69 / $1,914.97