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West Virginia rates for HCPCS L6360

Interscapular thoracic, passive restoration (complete prosthesis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,892.51 / $1,892.51 / $1,892.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,858.09 / $1,892.51 / $2,035.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,748.22 / $5,707.84 / $6,947.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,508.66 / $2,959.62 / $5,073.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,297.39 / $3,297.39 / $4,954.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,407.09 / $3,297.39 / $20,525.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,885.26 / $2,578.78 / $3,209.08