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West Virginia rates for HCPCS L1280

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

Facilitymedian $60 · 10th–90th $48–$1740%50%10th90th$60Professionalmedian $54 · 10th–90th $47–$830%20%10th90th$54$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $52.48 / $60.26
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $134.90
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $173.78 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $524.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $47.86 / $112.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $61.66 / $97.72