go back

West Virginia rates for HCPCS L5661

Addition to lower extremity, socket insert, multidurometer Symes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $389.05 / $645.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $977.24
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $1,288.25 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $478.63 / $851.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $512.86 / $660.69