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West Virginia rates for HCPCS L3050

Foot Arch Support Removable Premolded Metatarsal Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.59 / $28.59 / $28.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.65 / $27.36 / $30.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.06 / $74.70 / $96.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.97 / $39.90 / $68.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.65 / $31.65 / $66.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.10 / $31.65 / $271.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.04 / $25.04 / $25.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $27.61 / $46.01