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West Virginia rates for HCPCS L5678

Additions to lower extremity, below knee (BK), joint covers, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.37 / $23.37 / $23.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.16 / $23.37 / $25.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.98 / $64.34 / $83.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.98 / $33.36 / $57.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.78 / $29.78 / $62.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.74 / $29.78 / $261.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.77 / $31.84 / $39.61