go back

West Virginia rates for HCPCS L5616

Addition to lower extremity, endoskeletal system, above knee (AK), universal multiplex system, friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$799.34 / $799.34 / $799.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.34 / $799.34 / $894.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.00 / $2,200.66 / $2,852.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.58 / $1,143.69 / $1,960.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.60 / $1,018.60 / $2,075.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.58 / $743.58 / $8,699.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.25 / $1,136.04 / $1,355.42