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West Virginia rates for HCPCS L5811

Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.23 / $429.23 / $429.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.23 / $429.23 / $567.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.98 / $1,181.74 / $1,531.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.98 / $612.75 / $1,050.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.94 / $612.94 / $1,159.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.45 / $612.94 / $4,860.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.08 / $577.08 / $672.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.70 / $610.04 / $727.84