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West Virginia rates for HCPCS L5845

Addition, endoskeletal knee-shin system, stance flexion feature, adjustable

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.58 / $1,035.58 / $1,035.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.45 / $1,035.58 / $1,113.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,414.10 / $2,851.08 / $3,695.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,372.74 / $1,522.88 / $2,610.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.83 / $1,207.83 / $2,549.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.72 / $1,207.83 / $10,396.69
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,410.26 / $1,410.26 / $1,689.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.55 / $1,055.55 / $1,055.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.60 / $1,347.08 / $1,756.01