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West Virginia rates for HCPCS L5644

Addition to lower extremity, above knee (AK), wood socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.62 / $347.62 / $347.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.62 / $347.62 / $452.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.79 / $957.03 / $1,240.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.79 / $496.24 / $850.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.59 / $458.59 / $892.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.77 / $458.59 / $3,740.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.67 / $452.84 / $592.10