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West Virginia rates for HCPCS L5686

Addition To Lower Extremity Below Knee Back Check (Extension Control)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.20 / $38.20 / $38.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.13 / $38.20 / $41.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.65 / $97.40 / $136.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.92 / $54.54 / $73.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $44.94 / $80.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.81 / $44.94 / $338.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.24 / $37.24 / $37.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.07 / $46.08 / $60.99