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West Virginia rates for HCPCS L4394

Replace soft interface material, foot drop splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.43 / $10.43 / $10.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.72 / $9.98 / $10.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.53 / $27.24 / $35.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.12 / $14.57 / $24.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.40 / $13.40 / $24.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $13.40 / $98.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.11 / $9.11 / $9.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.72 / $10.07 / $15.79