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West Virginia rates for HCPCS L3253

Foot, molded shoe, Plastazote (or similar), custom fitted, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.77 / $15.77 / $15.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.03 / $16.09 / $22.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.21 / $38.54 / $95.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.11 / $94.44 / $103.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.24 / $54.94 / $54.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $54.94 / $140.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.70 / $22.43 / $45.16