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West Virginia rates for HCPCS L3500

Orthopedic shoe addition, insole, leather

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.77 / $17.77 / $17.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.57 / $17.00 / $17.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.06 / $46.44 / $60.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.36 / $24.83 / $42.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.58 / $23.58 / $41.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.21 / $23.58 / $169.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.57 / $15.57 / $15.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.16 / $17.44 / $28.60