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West Virginia rates for HCPCS L5940

Addition, endoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.22 / $295.22 / $295.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.62 / $295.22 / $317.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.33 / $812.77 / $1,053.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.33 / $421.44 / $722.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.03 / $382.03 / $786.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.88 / $382.03 / $3,297.02
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.63 / $382.63 / $470.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.36 / $419.57 / $500.60