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West Virginia rates for HCPCS L5714

Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.52 / $261.52 / $261.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.52 / $261.52 / $284.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.94 / $720.01 / $933.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.67 / $377.94 / $647.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.42 / $340.42 / $636.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.51 / $340.42 / $2,665.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.08 / $349.87 / $445.45