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West Virginia rates for HCPCS L5690

Addition To Lower Extremity Below Knee Waist Belt Padded And Lined

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.61 / $69.61 / $69.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.61 / $69.61 / $76.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.27 / $177.45 / $248.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.22 / $99.37 / $140.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.44 / $97.44 / $154.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.13 / $97.44 / $648.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.11 / $133.11 / $133.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.34 / $85.18 / $118.04