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West Virginia rates for HCPCS L2795

Addition to lower extremity orthosis, knee control, full kneecap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.23 / $50.23 / $50.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.83 / $50.23 / $62.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.21 / $129.24 / $170.17
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.21 / $68.06 / $114.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.69 / $62.81 / $123.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $62.81 / $516.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.03 / $51.98 / $81.23