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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
$602.56 / $602.56 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $645.65 / $1,148.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,548.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $2,089.30 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $6,309.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $758.58 / $1,348.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $776.25 / $1,023.29