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West Virginia rates for HCPCS L5560

Preparatory Above Knee- Knee Disarticulation Ischial Level Socket Non-Alignable System Pylon No Cover Sach Foot Plaster Socket Molded To Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,143.88 / $1,143.88 / $1,143.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,143.88 / $1,143.88 / $1,230.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,516.30 / $3,149.24 / $4,198.99
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.30 / $1,632.94 / $2,799.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,823.10 / $1,823.10 / $3,067.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.86 / $1,823.10 / $12,857.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.79 / $1,636.62 / $1,948.36