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West Virginia rates for HCPCS L5962

Addition Endoskeletal System Below Knee Flexible Protective Outer Surface Covering System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.94 / $345.94 / $345.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.89 / $345.94 / $372.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.97 / $952.41 / $1,234.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.57 / $533.04 / $913.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.56 / $448.56 / $915.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.45 / $448.56 / $3,837.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.15 / $470.15 / $470.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.96 / $424.14 / $552.16