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West Virginia rates for HCPCS L5617

Addition to lower extremity, quick change self-aligning unit, above knee (AK) or below knee (BK), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.27 / $323.27 / $323.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.27 / $323.27 / $347.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.42 / $889.97 / $1,153.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.51 / $475.38 / $814.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.96 / $436.96 / $795.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.98 / $436.96 / $3,264.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.89 / $423.20 / $528.60