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West Virginia rates for HCPCS L5680

Addition to lower extremity, below knee (BK), thigh lacer, nonmolded

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.83 / $203.83 / $203.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.87 / $203.83 / $219.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.20 / $537.04 / $727.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.20 / $290.98 / $477.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.28 / $228.28 / $467.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.64 / $228.28 / $1,960.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.70 / $249.41 / $347.20