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West Virginia rates for HCPCS L1030

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $70.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $128.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $128.82 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $389.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $37.15 / $83.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $40.74 / $60.26