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West Virginia rates for HCPCS L2785

Addition to lower extremity orthosis, drop lock retainer, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $19.05 / $25.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $64.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $64.57 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $194.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $23.99 / $41.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $20.42 / $29.51