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West Virginia rates for HCPCS L3000

Foot insert, removable, molded to patient model, UCB type, Berkeley shell, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.85 / $190.85 / $190.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.91 / $190.85 / $211.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.41 / $443.29 / $567.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.58 / $456.66 / $856.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.27 / $211.27 / $445.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.22 / $211.27 / $1,815.21
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.58 / $258.58 / $258.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.38 / $184.30 / $307.16