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West Virginia rates for HCPCS L5822

Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.52 / $1,096.52 / $1,096.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.93 / $1,096.52 / $1,324.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,453.52 / $2,795.23 / $3,913.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,430.72 / $1,565.33 / $2,452.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,367.82 / $1,367.82 / $2,513.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.51 / $1,367.82 / $10,534.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.44 / $1,347.44 / $1,571.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.59 / $1,424.39 / $1,942.41