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West Virginia rates for HCPCS L5685

Addition To Lower Extremity Prosthesis Below Kneesuspension/Sealing Sleeve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.00 / $74.00 / $74.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.34 / $74.00 / $79.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.05 / $203.74 / $264.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.10 / $108.82 / $186.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.03 / $100.03 / $182.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.02 / $100.03 / $741.61
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.92 / $95.92 / $117.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.29 / $96.26 / $125.49