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West Virginia rates for HCPCS L5614

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$974.97 / $974.97 / $974.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.37 / $974.97 / $1,048.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,331.31 / $2,684.19 / $3,479.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.39 / $1,433.72 / $2,457.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,317.79 / $1,317.79 / $2,400.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.99 / $1,317.79 / $9,786.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.23 / $1,199.72 / $1,594.21