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West Virginia rates for HCPCS L1001

Cervical-thoracic-lumbar-sacral orthosis (CTLSO), immobilizer, infant size, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.60 / $45.60 / $45.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.60 / $45.60 / $57.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59,999.40 / $59,999.40 / $59,999.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35,999.64 / $35,999.64 / $41,999.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.00 / $70.00 / $70.00