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West Virginia rates for HCPCS L4361

Walking Boot Pneumatic And/Or Vacuum With Or Without Joints With Or Without Interface Materialprefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.54 / $132.54 / $132.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.04 / $179.09 / $203.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.94 / $415.99 / $519.99
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.00 / $397.72 / $803.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.16 / $291.73 / $398.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.34 / $214.16 / $1,669.46
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.99 / $128.99 / $128.99
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.32 / $232.20 / $372.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.24 / $154.24 / $154.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.49 / $189.92 / $288.24