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West Virginia rates for HCPCS L4394

Replace soft interface material, foot drop splint

Facilitymedian $10 · 10th–90th $10–$330%50%90th$10Professionalmedian $10 · 10th–90th $7–$140%20%10th90th$10$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $8.91 / $10.00
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $28.18
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $33.11 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $9.12 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $10.72 / $16.60