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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
$346.74 / $346.74 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $354.81 / $616.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $954.99
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $1,230.27 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $3,715.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $467.74 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $446.68 / $588.84