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West Virginia rates for HCPCS L5785

Addition, exoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.77 / $305.77 / $305.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.77 / $305.77 / $404.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.87 / $841.85 / $1,091.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.33 / $540.72 / $926.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.66 / $389.66 / $905.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.45 / $389.66 / $3,321.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.10 / $411.10 / $518.50