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West Virginia rates for HCPCS L1830

Knee orthosis (KO), immobilizer, canvas longitudinal, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $50.12 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $44.67 / $114.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $93.33 / $123.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $112.20 / $173.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $117.49 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $346.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $436.52
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $69.18 / $70.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $66.07 / $128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $56.23 / $87.10