go back

West Virginia rates for HCPCS L0710

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,215.56 / $1,215.56 / $1,215.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.15 / $1,163.35 / $1,326.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,850.52 / $3,176.40 / $4,117.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,529.38 / $1,992.87 / $3,416.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,549.06 / $1,549.06 / $3,336.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.81 / $1,549.06 / $12,759.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.84 / $1,257.70 / $1,841.54