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West Virginia rates for HCPCS L5000

Partial Foot Shoe Insert With Longitudinal Arch Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.03 / $328.03 / $328.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.75 / $328.03 / $378.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.82 / $857.52 / $1,170.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.82 / $468.27 / $762.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.90 / $459.90 / $766.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.73 / $335.73 / $3,214.22
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.27 / $522.62 / $535.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.74 / $422.63 / $556.23