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West Virginia rates for HCPCS L1730

Legg Perthes orthosis, (Scottish Rite type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.73 / $658.73 / $658.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.07 / $630.44 / $775.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.85 / $1,723.53 / $2,250.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.79 / $893.68 / $1,532.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,057.34 / $1,057.34 / $1,650.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.87 / $1,057.34 / $6,919.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.16 / $670.75 / $1,060.19