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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
$322.47 / $322.47 / $322.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.47 / $322.47 / $426.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.45 / $887.79 / $1,150.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.45 / $460.33 / $789.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.92 / $410.92 / $843.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.97 / $410.92 / $3,535.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.08 / $439.41 / $546.79