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West Virginia rates for HCPCS L1300

Other scoliosis procedure, body jacket molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,072.05 / $1,072.05 / $1,072.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.43 / $1,026.02 / $1,130.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.82 / $2,593.89 / $3,631.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.32 / $1,452.58 / $2,258.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.46 / $1,277.46 / $2,477.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.55 / $1,277.46 / $10,385.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.90 / $1,042.31 / $1,725.42