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West Virginia rates for HCPCS L8035

Custom breast prosthesis, post mastectomy, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,116.76 / $2,116.76 / $2,116.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,098.09 / $2,116.76 / $2,276.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,890.37 / $5,827.64 / $7,554.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,805.90 / $3,112.71 / $5,336.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.59 / $3,060.59 / $5,211.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,234.23 / $2,234.23 / $21,290.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,108.65 / $2,753.46 / $3,589.32