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West Virginia rates for HCPCS L6630

Upper extremity addition, stainless steel, any wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.85 / $126.85 / $126.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.85 / $126.85 / $167.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.14 / $379.39 / $465.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.14 / $181.08 / $310.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.63 / $161.63 / $323.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.99 / $161.63 / $1,356.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.54 / $170.54 / $198.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.36 / $155.52 / $202.46