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West Virginia rates for HCPCS L5960

Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.40 / $597.40 / $597.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.40 / $597.40 / $642.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.90 / $1,605.70 / $2,132.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.90 / $852.81 / $1,388.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.44 / $930.44 / $1,493.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.22 / $930.44 / $6,259.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.79 / $806.38 / $1,012.99