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West Virginia rates for HCPCS L1850

Knee orthosis (KO), Swedish type, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.44 / $149.44 / $149.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.80 / $149.44 / $193.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.18 / $330.60 / $428.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.18 / $171.42 / $293.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.95 / $214.95 / $302.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.91 / $214.95 / $1,129.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.93 / $170.84 / $286.02