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West Virginia rates for HCPCS L5150

Knee disarticulation (or through knee), molded socket, external knee joints, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,066.79 / $2,066.79 / $2,066.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,066.79 / $2,066.79 / $2,222.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,739.67 / $5,690.09 / $7,586.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,739.67 / $2,950.42 / $5,057.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,249.00 / $3,249.00 / $5,490.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,371.77 / $3,249.00 / $23,014.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,102.75 / $2,937.36 / $3,504.59