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West Virginia rates for HCPCS L1120

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO), scoliosis orthosis, cover for upright, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $23.99 / $38.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $31.62 / $66.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $81.28 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $245.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $29.51 / $51.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $26.30 / $40.74