go back

West Virginia rates for HCPCS L4070

Replace Proximal And Distal Upright For Kafo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.80 / $163.80 / $163.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.69 / $156.76 / $172.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.02 / $428.02 / $554.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.08 / $239.10 / $409.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.09 / $205.09 / $422.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.72 / $205.09 / $1,768.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.57 / $158.16 / $248.15