go back

West Virginia rates for HCPCS L5684

Addition to lower extremity, below knee, fork strap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.33 / $28.33 / $28.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.21 / $28.33 / $35.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.54 / $77.98 / $101.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.54 / $40.44 / $69.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.36 / $37.36 / $75.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.27 / $37.36 / $314.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.82 / $40.26 / $48.03