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West Virginia rates for HCPCS L3003

Foot insert, removable, molded to patient model, silicone gel, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.88 / $105.88 / $105.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.70 / $101.33 / $105.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.19 / $276.67 / $358.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.21 / $147.75 / $253.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.11 / $149.11 / $247.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.85 / $149.11 / $1,006.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.42 / $103.88 / $160.38