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West Virginia rates for HCPCS L2640

Addition to lower extremity, pelvic control, band and belt, bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.59 / $195.59 / $195.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.33 / $187.19 / $240.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.08 / $511.10 / $662.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.08 / $265.01 / $454.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.57 / $236.57 / $510.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.70 / $236.57 / $2,139.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.31 / $199.16 / $296.32