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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 October 2026.

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

$77.62

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $97.72 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$77.62$70.79 to $100
FacilityA hospital or hospital-owned outpatient department$97.72$97.72 to $174

How much rates vary

Facilitymedian $98 · 10th to 90th $98 to $234Professionalmedian $78 · 10th to 90th $71 to $170
$100$200$500facility $98professional $78

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$37.15
Median
$38.90
Typical High
$38.90
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$14.79
Median
$15.49
Typical High
$15.49
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$11.22
Median
$11.75
Typical High
$11.75
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.41
Median
$7.76
Typical High
$7.76
CareSource
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
CareSource
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$104.71
Typical High
$181.97
Cigna
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$234.42
Cigna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$851.14
United
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$100.00
Typical High
$173.78
United
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$85.11
Typical High
$169.82

Where West Virginia sits

The same service costs 3.2 times more in Hawaii than in Florida. 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· 47th of 51

$77.62

HI $224FL $70.79

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.