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West Virginia rates for HCPCS L5987

All lower extremity prostheses, shank foot system with vertical loading pylon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,156.35 / $4,156.35 / $4,156.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,119.68 / $4,156.35 / $4,470.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,675.44 / $11,442.86 / $14,833.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,509.52 / $6,112.01 / $10,477.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,042.00 / $6,042.00 / $10,232.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,410.66 / $6,042.00 / $41,719.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,228.67 / $5,406.58 / $7,047.79