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West Virginia rates for HCPCS L5812

Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.71 / $332.71 / $332.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.71 / $332.71 / $429.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.03 / $915.98 / $1,187.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.03 / $474.95 / $814.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.30 / $472.30 / $887.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.78 / $472.30 / $3,720.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.50 / $472.84 / $564.16