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West Virginia rates for HCPCS L5964

Addition, endoskeletal system, above knee (AK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.66 / $619.66 / $619.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.66 / $619.66 / $666.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.40 / $1,579.61 / $2,211.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.84 / $884.58 / $1,348.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.38 / $702.38 / $1,453.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.74 / $702.38 / $6,094.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.44 / $844.37 / $1,097.68