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West Virginia rates for HCPCS L2500

Addition to lower extremity, thigh/weight bearing, gluteal/ischial weight bearing, ring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $190.55 / $309.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $478.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $630.96 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $199.53 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $204.17 / $302.00