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West Virginia rates for HCPCS L5790

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.18 / $423.18 / $423.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.18 / $423.18 / $559.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.95 / $1,165.05 / $1,510.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.95 / $604.10 / $1,035.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.20 / $582.20 / $1,099.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.01 / $582.20 / $4,607.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.36 / $500.36 / $500.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.54 / $601.42 / $717.57