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West Virginia rates for HCPCS L5000

Partial foot, shoe insert with longitudinal arch, toe filler

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $338.84 / $575.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $851.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $1,071.52 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $3,235.94
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $549.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $398.11 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $426.58 / $562.34