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West Virginia rates for HCPCS L5950

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $501.19 / $794.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $1,258.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,659.59 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $5,011.87
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $616.60 / $1,071.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $645.65 / $851.14