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West Virginia rates for HCPCS L5726

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.51 / $1,166.51 / $1,166.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.51 / $1,166.51 / $1,315.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,546.29 / $2,973.64 / $4,163.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.53 / $1,665.24 / $2,505.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,606.19 / $1,606.19 / $2,714.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.52 / $1,606.19 / $11,379.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,175.63 / $1,455.07 / $1,978.01