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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
$189.16 / $189.16 / $189.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.91 / $181.03 / $230.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.99 / $479.80 / $640.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.99 / $256.30 / $426.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.89 / $243.89 / $449.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.04 / $178.04 / $1,882.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.61 / $191.26 / $304.44