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West Virginia rates for HCPCS L4392

Replacement, soft interface material, static AFO

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.30 / $14.30 / $14.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.33 / $13.67 / $14.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.54 / $37.35 / $48.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.98 / $19.97 / $34.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.80 / $15.80 / $33.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $15.80 / $135.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.57 / $14.24 / $22.19