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West Virginia rates for HCPCS L2520

Addition to lower extremity, thigh/weight bearing, quadri-lateral brim, custom fitted

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.95 / $279.95 / $279.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.87 / $267.94 / $326.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.24 / $731.57 / $971.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.24 / $379.33 / $622.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.30 / $324.30 / $686.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.74 / $236.74 / $2,875.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.01 / $285.08 / $450.58