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West Virginia rates for HCPCS L5724

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.36 / $888.36 / $888.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.36 / $888.36 / $1,058.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,177.58 / $2,445.73 / $3,170.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.58 / $1,268.16 / $2,173.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,349.13 / $1,349.13 / $2,380.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.86 / $984.86 / $9,977.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.82 / $1,262.55 / $1,506.36