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West Virginia rates for HCPCS L5653

Addition to lower extremity, knee disarticulation, expandable wall socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.53 / $342.53 / $342.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.53 / $342.53 / $368.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.05 / $943.03 / $1,224.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.05 / $488.98 / $838.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.76 / $555.76 / $910.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.70 / $555.76 / $3,814.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.49 / $486.81 / $580.82