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West Virginia rates for HCPCS L1260

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.47 / $51.47 / $51.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.22 / $49.26 / $51.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.50 / $134.51 / $174.37
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.77 / $78.08 / $133.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.02 / $71.02 / $130.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.84 / $71.02 / $471.30
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.28 / $67.28 / $68.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.63 / $49.70 / $82.84