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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
$45.81 / $50.39 / $50.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.78 / $46.63 / $59.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.89 / $90.24 / $112.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.64 / $90.24 / $174.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.14 / $67.14 / $91.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.01 / $67.14 / $350.66
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.38 / $267.47 / $409.69
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.06 / $68.23 / $70.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.21 / $52.15 / $86.92