go back

West Virginia rates for HCPCS L5980

All lower extremity prostheses, flex-foot system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,182.15 / $2,182.15 / $2,182.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,182.15 / $2,182.15 / $2,539.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,892.60 / $6,007.70 / $7,787.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,892.60 / $3,115.11 / $5,340.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,780.72 / $2,780.72 / $5,755.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,029.93 / $2,780.72 / $24,121.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,220.13 / $2,933.77 / $3,700.21