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West Virginia rates for HCPCS L2006

Knee Ankle Foot Device Any Material Single Or Double Upright Swing And/Or Stance Phase Microprocessor Control With Adjustability Includes All Components (E.G. Sensors Batteries Charger) Any Type Activation With Or Without Ankle Joint(S) Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,542.98 / $19,542.98 / $19,542.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,218.03 / $19,542.98 / $23,121.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,094.11 / $51,068.08 / $66,199.37
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24,588.34 / $27,024.42 / $46,327.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,241.78 / $45,241.78 / $45,241.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31,019.05 / $31,019.05 / $187,946.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,874.21 / $23,186.58 / $33,123.69