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West Virginia rates for HCPCS L1000

Cervical-thoracic-lumbar-sacral orthosis (CTLSO) (Milwaukee), inclusive of furnishing initial orthotic, including model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,193.75 / $1,193.75 / $1,193.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.82 / $1,142.49 / $1,402.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,501.94 / $3,087.76 / $4,043.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,501.94 / $1,617.48 / $2,744.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.97 / $1,499.97 / $2,970.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.98 / $1,499.97 / $12,452.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.39 / $1,230.85 / $1,921.29