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West Virginia rates for HCPCS L5646

Addition to lower extremity, below knee (BK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $354.81 / $630.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $891.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $1,174.90 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $3,548.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $436.52 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $416.87 / $549.54