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West Virginia rates for HCPCS L1832

Knee Orthosis Adjustable Knee Joints (Unicentricor Polycentric) Positional Orthosis Rigid Support Prefabricated Item That Has Been Trimmedbent Molded Assembled Or Otherwise Customized To Fit A Specific Patient By An Individual With Expertise (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.69 / $389.69 / $389.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.71 / $411.37 / $452.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.61 / $1,075.60 / $1,394.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.89 / $639.27 / $1,095.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.00 / $460.00 / $1,070.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.80 / $460.00 / $3,928.20
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.48 / $311.94 / $1,813.16
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.37 / $557.73 / $637.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.39 / $397.49 / $662.49