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West Virginia rates for HCPCS L3090

Foot Arch Support Non-Removable Attached To Shoe Longitudinal/Metatarsal Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.73 / $24.73 / $24.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.06 / $23.67 / $24.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.06 / $64.62 / $83.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.12 / $34.52 / $59.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $27.38 / $57.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $27.38 / $235.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.32 / $24.26 / $39.81