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West Virginia rates for HCPCS L1812

Knee orthosis (KO), elastic with joints, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $50.12 / $95.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $104.71 / $138.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $125.89 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $125.89 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $380.19
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $107.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $64.57 / $100.00