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West Virginia rates for HCPCS L5639

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.93 / $671.93 / $671.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.93 / $671.93 / $872.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.69 / $1,816.67 / $2,398.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.69 / $959.20 / $1,614.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.50 / $870.50 / $1,824.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.47 / $870.50 / $7,646.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.62 / $937.81 / $1,139.36