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West Virginia rates for HCPCS L1836

Knee orthosis (KO), rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $61.66 / $114.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $144.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $162.18 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $83.18 / $131.83