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West Virginia rates for HCPCS L5637

Addition to lower extremity, below knee (BK), total contact

Rates data updated July 2026.

How much does HCPCS L5637 cost?

$204

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $200 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$214$200 to $219
FacilityA hospital or hospital-owned outpatient department$200$200 to $229

How much rates vary

Facilitymedian $200 · 10th to 90th $200 to $398Professionalmedian $214 · 10th to 90th $200 to $269
$50$100$200$500$1K$2Kfacility $200professional $214

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$218.78
CareSource
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$467.74
CareSource
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$2,041.74
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$229.09
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$251.19
Typical High
$338.84

Where West Virginia sits

The same service costs 2.7 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 44th of 51

$204

HI $490DE $182

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.