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West Virginia rates for HCPCS L3630

Transfer Of An Orthosis From One Shoe To Another Solid Stirrup New (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.04 / $61.04 / $61.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.90 / $58.42 / $61.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.09 / $159.50 / $206.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.80 / $85.18 / $146.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.56 / $67.56 / $142.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $67.56 / $580.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.47 / $60.89 / $98.68