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West Virginia rates for HCPCS L1085

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, outrigger, bilateral with vertical extensions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.10 / $104.10 / $104.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.28 / $99.63 / $104.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.69 / $272.02 / $352.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.97 / $154.75 / $265.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.01 / $144.01 / $259.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.13 / $144.01 / $956.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.51 / $100.52 / $167.54