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West Virginia rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.57 / $190.57 / $190.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.26 / $190.57 / $245.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.27 / $524.67 / $680.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.62 / $277.06 / $474.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $301.92 / $485.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.08 / $296.00 / $2,035.44
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.00 / $267.25 / $272.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.85 / $263.89 / $339.62