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West Virginia rates for HCPCS L0972

Lumbar-sacral orthosis (LSO), corset front

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.29 / $70.29 / $70.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.35 / $67.27 / $70.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.45 / $175.80 / $238.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.45 / $95.25 / $157.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.81 / $75.81 / $154.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.35 / $75.81 / $626.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.00 / $88.00 / $88.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.48 / $67.88 / $113.13