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West Virginia rates for HCPCS L3660

Shoulder Orthosis Figure Of Eight Design Abduction Restrainer Canvas And Webbing Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.53 / $58.53 / $58.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.50 / $56.02 / $68.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.31 / $135.97 / $169.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.31 / $135.97 / $262.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.80 / $74.27 / $144.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.68 / $51.68 / $606.69
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.67 / $76.51 / $79.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.38 / $56.53 / $94.21