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West Virginia rates for HCPCS L5816

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $512.86 / $870.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $1,380.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,819.70 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $676.08 / $1,174.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $645.65 / $851.14