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West Virginia rates for HCPCS L5973

Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,912.51 / $10,471.29 / $17,782.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $13,489.63 / $28,183.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,454.40 / $14,454.40 / $25,118.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $33,884.42 / $33,884.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,332.54 / $9,332.54 / $100,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $12,302.69 / $21,877.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,232.93 / $13,803.84 / $18,620.87