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West Virginia rates for HCPCS L5665

Addition to lower extremity, socket insert, multidurometer, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $323.59 / $575.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $831.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $1,096.48 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $3,311.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $389.05 / $512.86