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West Virginia rates for HCPCS L3201

Orthopedic shoe, Oxford with supinator or pronator, infant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.57 / $18.57 / $18.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.57 / $18.94 / $25.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.89 / $45.00 / $82.24
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.47 / $48.46 / $83.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.06 / $30.06 / $39.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $30.06 / $165.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.67 / $26.57 / $52.68