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West Virginia rates for HCPCS L5698

Addition To Lower Extremity Above Knee Or Knee Disarticulation Silesian Bandage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.84 / $61.84 / $61.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.84 / $61.84 / $70.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.90 / $170.26 / $220.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.98 / $110.29 / $189.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.25 / $99.25 / $184.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.45 / $72.45 / $702.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.54 / $82.54 / $96.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.59 / $71.61 / $96.25