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West Virginia rates for HCPCS L5840

Addition, endoskeletal knee-shin system, four-bar linkage or multiaxial, pneumatic swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.69 / $2,155.69 / $2,155.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,155.69 / $2,155.69 / $2,318.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,857.53 / $5,684.99 / $7,693.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,857.53 / $3,077.34 / $5,053.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.97 / $3,364.97 / $5,215.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,456.42 / $3,364.97 / $21,859.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,193.21 / $2,835.07 / $3,655.36