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West Virginia rates for HCPCS L5280

Hemipelvectomy Canadian Type; Molded Socket Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,996.68 / $2,996.68 / $2,996.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,996.68 / $2,996.68 / $3,495.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,999.07 / $8,305.75 / $10,965.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,972.31 / $4,306.68 / $7,382.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,728.96 / $4,728.96 / $8,453.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,452.14 / $4,728.96 / $35,431.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,926.06 / $6,926.06 / $6,926.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,048.83 / $4,258.93 / $5,104.20