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West Virginia rates for HCPCS L2330

Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.68 / $250.68 / $250.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.95 / $240.60 / $276.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.39 / $606.53 / $849.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.66 / $339.65 / $530.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.03 / $345.03 / $574.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.87 / $345.03 / $2,406.82
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.37 / $363.92 / $388.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.97 / $245.01 / $403.45