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West Virginia rates for HCPCS L5640

Addition to lower extremity, knee disarticulation, leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $426.58 / $676.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $1,047.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,380.38 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $4,168.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $501.19 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $524.81 / $691.83