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West Virginia rates for HCPCS L1010

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, axilla sling

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.06 / $39.06 / $39.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.42 / $37.39 / $40.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.87 / $113.42 / $136.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.15 / $64.48 / $110.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.20 / $65.20 / $107.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.60 / $65.20 / $406.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.61 / $37.72 / $62.87