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West Virginia rates for HCPCS L5961

Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,677.57 / $2,677.57 / $2,677.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,662.49 / $2,677.57 / $2,879.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,586.34 / $7,371.62 / $9,555.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,549.30 / $3,862.22 / $6,620.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,728.42 / $3,728.42 / $6,587.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,721.75 / $3,728.42 / $27,609.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,724.16 / $3,856.19 / $5,329.30