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West Virginia rates for HCPCS L5979

All Lower Extremity Prosthesis Multi-Axial Ankle Dynamic Response Foot One Piece System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,378.22 / $1,378.22 / $1,378.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,378.22 / $1,378.22 / $1,482.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,826.92 / $3,697.19 / $4,918.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.92 / $1,967.46 / $3,286.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,711.28 / $1,711.28 / $3,514.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.23 / $1,711.28 / $14,729.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,402.20 / $1,805.47 / $2,337.00