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West Virginia rates for HCPCS L5638

Addition to lower extremity, below knee (BK), leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.42 / $286.42 / $286.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.89 / $286.42 / $308.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.60 / $856.69 / $1,051.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.67 / $422.80 / $724.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.81 / $503.81 / $757.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.78 / $367.78 / $3,175.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.77 / $388.77 / $388.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.41 / $390.29 / $485.68