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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
$19.95 / $19.95 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $58.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89