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West Virginia rates for HCPCS L6632

Upper extremity addition, latex suspension sleeve, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.31 / $42.31 / $42.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.24 / $42.31 / $45.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.40 / $116.48 / $150.99
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.08 / $62.89 / $107.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.73 / $48.73 / $105.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.57 / $48.73 / $406.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.97 / $39.97 / $39.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.04 / $54.34 / $71.73