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West Virginia rates for HCPCS L5826

Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,822.37 / $1,822.37 / $1,822.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,818.85 / $1,822.37 / $1,960.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,463.77 / $5,017.18 / $6,503.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,415.67 / $2,653.29 / $4,548.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,677.88 / $2,677.88 / $4,441.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,954.85 / $2,677.88 / $18,249.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,854.09 / $2,234.90 / $3,104.03