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West Virginia rates for HCPCS L0974

Thoracic-lumbar-sacral orthosis (TLSO), full corset

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.39 / $104.39 / $104.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.31 / $99.90 / $123.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.65 / $272.77 / $353.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.34 / $181.85 / $322.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.19 / $136.19 / $315.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.43 / $136.19 / $1,094.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.34 / $106.29 / $168.75