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West Virginia rates for HCPCS L1652

Hip Orthosis Bilateral Thigh Cuffs With Adjustable Abductor Spreader Bar Adult Size Prefabricated Includes Fitting And Adjustment Any Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.57 / $216.57 / $216.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.88 / $207.26 / $216.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.70 / $565.89 / $733.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.47 / $302.29 / $518.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.01 / $252.01 / $506.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.97 / $252.01 / $2,059.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.43 / $212.51 / $348.55