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West Virginia rates for HCPCS L4210

Repair of orthotic device, repair or replace minor parts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.47 / $28.11 / $58.37
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.27 / $30.27 / $41,999.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.17 / $117.89 / $117.89
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.97 / $20.97 / $20.97