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West Virginia rates for HCPCS L5670

Addition to lower extremity, below knee (BK), molded supracondylar suspension (PTS or similar)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.01 / $182.01 / $182.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.13 / $182.01 / $195.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.27 / $463.99 / $649.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.98 / $259.83 / $390.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.51 / $203.51 / $422.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.56 / $203.51 / $1,769.23
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.90 / $235.90 / $250.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.38 / $226.97 / $308.63