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West Virginia rates for HCPCS L3380

Clubfoot Wedge (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.11 / $30.11 / $30.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.07 / $28.82 / $30.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.07 / $78.69 / $102.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.89 / $42.07 / $72.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.35 / $33.35 / $70.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.35 / $33.35 / $286.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.39 / $26.39 / $41.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.31 / $29.08 / $45.63