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West Virginia rates for HCPCS L5321

Above Knee Molded Socket Open End Sach Foot Endoskeletal System Single Axis Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,934.37 / $1,934.37 / $1,934.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,934.37 / $1,934.37 / $2,102.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,110.66 / $5,325.53 / $6,903.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,564.15 / $3,349.94 / $5,742.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,481.10 / $2,481.10 / $5,608.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,811.20 / $2,481.10 / $21,611.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,155.88 / $3,155.88 / $3,155.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.65 / $2,600.65 / $2,600.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,968.04 / $2,749.17 / $3,280.06