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West Virginia rates for HCPCS L1025

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, kyphosis pad, floating

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.03 / $96.03 / $96.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.33 / $91.90 / $96.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.82 / $232.35 / $325.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.13 / $130.12 / $171.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.11 / $89.11 / $186.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.05 / $89.11 / $780.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.45 / $92.73 / $155.25