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West Virginia rates for HCPCS L3002

Foot Insert Removable Molded To Patient Model Plastazote Or Equal Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.12 / $98.12 / $98.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.47 / $93.91 / $98.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.17 / $256.41 / $332.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.45 / $136.94 / $234.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.63 / $129.63 / $229.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.64 / $95.00 / $933.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.94 / $97.88 / $158.63