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West Virginia rates for HCPCS L4130

Replace pretibial shell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.07 / $294.07 / $294.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.66 / $281.44 / $294.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.39 / $768.45 / $996.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.99 / $460.27 / $789.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.57 / $373.57 / $770.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.70 / $373.57 / $3,026.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.36 / $276.36 / $276.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.72 / $300.79 / $473.29