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West Virginia rates for HCPCS L2265

Addition to lower extremity, long tongue stirrup

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.55 / $68.55 / $68.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.90 / $65.59 / $85.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.24 / $179.12 / $238.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.24 / $92.88 / $159.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.22 / $106.22 / $179.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.54 / $106.22 / $751.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.59 / $65.59 / $102.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.48 / $71.40 / $110.32