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Exchange Of One External Frame Strut

West Virginia rates for HCPCS 20697

Replaces a single strut on an external frame that is already in place. Imaging is included, and the adjustment is computer-assisted. The charge applies once for each strut exchanged.

Rates data updated July 2026.

How much does Exchange Of One External Frame Strut cost?

$1,738

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $1,738 for this service. The price depends on where it is billed: about $1,950 from a physician practice, and about $1,660 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,950$1,660 to $2,291
FacilityA hospital or hospital-owned outpatient department$1,660$1,660 to $1,738

How much rates vary

Facilitymedian $1,660 · 10th to 90th $1,413 to $2,630Professionalmedian $1,950 · 10th to 90th $1,660 to $2,291
$50$200$1K$5Kfacility $1,660professional $1,950

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,659.59
Typical High
$1,737.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,041.74
Typical High
$2,290.87
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,905.46
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$3,090.30
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,238.72
Typical High
$9,120.11
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$954.99
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,737.80
Typical High
$2,630.27

Where West Virginia sits

The same service costs 3.8 times more in California than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 50th of 51

$1,738

CA $6,310KY $1,660

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.