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West Virginia rates for HCPCS L5850

Addition, endoskeletal system, above knee (AK) or hip disarticulation, knee extension assist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.17 / $78.17 / $78.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.63 / $78.17 / $84.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.62 / $207.28 / $278.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.62 / $111.59 / $184.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.32 / $99.32 / $189.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.50 / $99.32 / $792.94
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.46 / $106.46 / $107.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.53 / $95.85 / $133.15