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West Virginia rates for HCPCS L8010

Breast Prosthesis Mastectomy Sleeve (Special Coverage Instructions Apply. See Mcm: 2130 A)

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59,999.40 / $59,999.40 / $59,999.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00