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West Virginia rates for HCPCS L1240

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lumbar derotation pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.42 / $50.42 / $50.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.22 / $48.25 / $50.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.64 / $131.72 / $170.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.43 / $77.15 / $132.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.81 / $62.81 / $129.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $62.81 / $482.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.02 / $65.89 / $67.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.58 / $48.68 / $81.14