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West Virginia rates for HCPCS L2492

Addition to knee joint, lift loop for drop lock ring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $70.79 / $102.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $154.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $138.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $213.80 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $81.28 / $125.89