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West Virginia rates for HCPCS L5814

Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,145.76 / $2,145.76 / $2,145.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,126.84 / $2,145.76 / $2,307.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,930.03 / $5,907.49 / $7,657.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,844.35 / $3,155.42 / $5,409.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,502.67 / $2,502.67 / $5,282.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.95 / $2,502.67 / $21,538.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,183.10 / $2,625.55 / $3,424.93