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West Virginia rates for HCPCS L1090

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.86 / $68.86 / $68.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.19 / $65.12 / $68.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.64 / $166.61 / $233.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.28 / $93.30 / $123.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.47 / $75.47 / $132.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.09 / $75.47 / $556.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.34 / $66.50 / $110.84