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West Virginia rates for HCPCS L3170

Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.92 / $30.92 / $30.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.82 / $29.59 / $32.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.07 / $80.78 / $104.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $43.15 / $73.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $36.71 / $72.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.98 / $34.22 / $294.02
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.42 / $40.42 / $40.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.90 / $30.34 / $49.76