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West Virginia rates for HCPCS L1640

Hip orthosis (HO), abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.22 / $300.22 / $300.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.29 / $287.32 / $336.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.72 / $726.39 / $1,016.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.89 / $406.78 / $623.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.04 / $379.04 / $682.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.70 / $276.70 / $2,860.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.82 / $259.82 / $259.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.37 / $289.91 / $483.18