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West Virginia rates for HCPCS L5636

Addition to lower extremity, Symes type, medial opening socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.96 / $149.96 / $149.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.96 / $149.96 / $198.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.78 / $412.86 / $535.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.78 / $214.07 / $366.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.02 / $197.02 / $386.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.82 / $197.02 / $1,619.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.63 / $136.63 / $136.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.57 / $213.13 / $254.28