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West Virginia rates for HCPCS L1280

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), rib gusset (elastic), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.14 / $60.14 / $60.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.15 / $57.56 / $62.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.67 / $145.53 / $203.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.51 / $81.48 / $119.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.27 / $73.27 / $125.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.49 / $73.27 / $525.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.64 / $58.08 / $91.12