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West Virginia rates for HCPCS L5647

Addition to lower extremity, below knee (BK), suction socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.17 / $468.17 / $468.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.19 / $468.17 / $618.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.59 / $1,288.91 / $1,670.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.59 / $668.33 / $1,145.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.58 / $596.58 / $1,241.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.50 / $435.50 / $5,201.45
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.77 / $606.77 / $745.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.41 / $629.41 / $629.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.31 / $665.36 / $793.85