go back

West Virginia rates for HCPCS L5722

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.49 / $559.49 / $559.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.49 / $559.49 / $601.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.83 / $1,556.05 / $2,029.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.64 / $808.58 / $1,386.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.29 / $875.29 / $1,384.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.96 / $875.29 / $5,802.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.23 / $755.21 / $991.09