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West Virginia rates for HCPCS L5920

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.27 / $312.27 / $312.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.95 / $312.27 / $412.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.95 / $859.73 / $1,114.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.95 / $445.79 / $764.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.94 / $397.94 / $831.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.50 / $397.94 / $3,486.50
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.02 / $430.02 / $430.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.70 / $443.81 / $529.52