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West Virginia rates for HCPCS L5632

Addition to lower extremity, Symes type, PTB brim design socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.68 / $130.68 / $130.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.68 / $130.68 / $147.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.31 / $373.80 / $479.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.23 / $206.02 / $353.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.52 / $166.52 / $344.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.56 / $166.52 / $1,430.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.94 / $185.73 / $221.59