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West Virginia rates for HCPCS L3214

Benesch Boot Pair Junior (Special Coverage Instructions Apply. See Mcm: 2079)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.63 / $26.63 / $26.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.63 / $27.17 / $37.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.70 / $59.08 / $76.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.86 / $63.39 / $41,999.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.68 / $49.68 / $56.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $49.68 / $237.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.21 / $40.15 / $75.73