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West Virginia rates for HCPCS L1710

Legg Perthes orthosis, (Newington type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.45 / $1,040.45 / $1,040.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.91 / $995.77 / $1,305.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,488.98 / $2,745.11 / $3,580.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.07 / $1,603.52 / $2,748.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,544.16 / $1,544.16 / $2,684.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.24 / $1,544.16 / $11,214.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.10 / $1,004.74 / $1,682.08