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West Virginia rates for HCPCS L3520

Orthopedic shoe addition, insole, felt covered with leather

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $18.20 / $28.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $52.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $61.66 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $181.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $39.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $20.42 / $30.90