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West Virginia rates for HCPCS L2250

Addition To Lower Extremity Foot Plate Molded To Patient Model Stirrup Attachment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.10 / $224.10 / $224.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.57 / $214.48 / $224.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.95 / $542.23 / $759.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.22 / $303.64 / $480.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.60 / $252.60 / $519.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.40 / $184.40 / $2,177.39
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.64 / $303.64 / $303.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.39 / $221.72 / $360.68