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West Virginia rates for HCPCS L5270

Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,026.95 / $3,026.95 / $3,026.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,026.95 / $3,026.95 / $3,489.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,029.93 / $8,369.85 / $11,111.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,012.42 / $4,339.92 / $7,439.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,865.01 / $4,865.01 / $8,110.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,551.46 / $4,865.01 / $33,994.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,320.94 / $5,320.94 / $5,320.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,079.62 / $4,301.96 / $5,361.98