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West Virginia rates for HCPCS L1230

Addi To Thoracic-Lumbar-Sacral Orthotic (Tlso), (Low Profile), M

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.92 / $372.92 / $372.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.97 / $356.90 / $372.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.19 / $924.35 / $1,263.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.29 / $505.28 / $768.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.16 / $400.16 / $833.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.12 / $400.16 / $3,493.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.80 / $725.80 / $725.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.79 / $360.11 / $600.19