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West Virginia rates for HCPCS L5970

All lower extremity prostheses, foot, external keel, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.19 / $129.19 / $129.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.04 / $129.19 / $157.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.27 / $329.36 / $461.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.63 / $184.44 / $292.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.91 / $184.91 / $316.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.97 / $184.91 / $1,326.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.24 / $169.88 / $219.08