go back

West Virginia rates for HCPCS L2188

Addition to lower extremity fracture orthosis, quadrilateral brim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.06 / $210.06 / $210.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $201.03 / $210.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.42 / $506.10 / $711.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.27 / $314.91 / $539.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.27 / $218.27 / $527.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.34 / $218.27 / $1,795.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.08 / $202.84 / $338.07