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West Virginia rates for HCPCS L0976

Lumbar-sacral orthosis (LSO), full corset

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $97.72 / $165.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $323.59
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $323.59 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $89.13 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $102.33 / $151.36