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West Virginia rates for HCPCS L5910

Addition, endoskeletal system, below knee (BK), alignable system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.67 / $214.67 / $214.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.67 / $214.67 / $281.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.56 / $586.85 / $766.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.56 / $306.45 / $521.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.20 / $281.20 / $563.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.28 / $281.20 / $2,359.92
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.23 / $278.23 / $306.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.41 / $302.94 / $365.64