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West Virginia rates for HCPCS L5668

Addition to lower extremity, below knee (BK), molded distal cushion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $64.57 / $114.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $181.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $218.78 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $660.69
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $141.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $77.62 / $102.33