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Straight Knee Joint, Heavy-Duty

West Virginia rates for HCPCS L2385

Addition to lower extremity, straight knee joint, heavy-duty, each joint

Rates data updated July 2026.

How much does Straight Knee Joint, Heavy-Duty cost?

$74.13

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $74.13 for this service. The price depends on where it is billed: about $74.13 from a physician practice, and about $77.62 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$74.13$72.44 to $77.62
FacilityA hospital or hospital-owned outpatient department$77.62$77.62 to $95.50

How much rates vary

Facilitymedian $78 · 10th to 90th $78 to $204Professionalmedian $74 · 10th to 90th $62 to $100
$50.0$100.0$200.0$500.0facility $78professional $74

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$74.13
Typical High
$91.20
CareSource
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$204.17
CareSource
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$234.42
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$95.50
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$85.11
Typical High
$125.89

Where West Virginia sits

The same service costs 3.6 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

West Virginia $74.13 · 47th of 51
HI $224DC $61.66

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.