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West Virginia rates for HCPCS L8000

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.80 / $209.80 / $216.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.49 / $21.49 / $23.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.82 / $54.78 / $76.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.67 / $63.35 / $101.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.97 / $35.00 / $61.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.55 / $35.00 / $237.43
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.27 / $137.46 / $266.66
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.92 / $29.92 / $30.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.40 / $30.54 / $38.06