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West Virginia rates for HCPCS L5611

Addition to lower extremity, endoskeletal system, above knee (AK), knee disarticulation, four-bar linkage, with friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$948.25 / $948.25 / $948.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.24 / $948.25 / $1,253.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,256.97 / $2,610.63 / $3,384.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.97 / $1,353.66 / $2,320.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.77 / $1,226.77 / $2,486.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.54 / $1,226.77 / $10,423.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.75 / $1,347.67 / $1,607.92