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West Virginia rates for HCPCS L5312

Knee disarticulation (or through knee), molded socket, single axis knee, pylon, SACH foot, endoskeletal system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,941.31 / $1,941.31 / $1,941.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,924.20 / $1,941.31 / $2,110.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,071.84 / $5,860.30 / $7,126.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,573.34 / $3,308.13 / $5,671.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,001.57 / $3,001.57 / $5,538.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,191.15 / $3,001.57 / $21,719.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,975.10 / $2,975.87 / $3,291.83