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West Virginia rates for HCPCS L6310

Shoulder disarticulation, passive restoration (complete prosthesis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,803.21 / $1,803.21 / $1,803.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,770.25 / $1,803.21 / $1,939.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,509.69 / $5,341.99 / $6,619.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,390.28 / $2,702.76 / $4,633.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,141.52 / $3,141.52 / $4,659.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,293.31 / $3,141.52 / $19,530.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,719.97 / $2,401.17 / $3,057.65