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West Virginia rates for HCPCS L6638

Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,444.86 / $1,444.86 / $1,444.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,432.12 / $1,444.86 / $1,554.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,972.93 / $3,977.86 / $5,156.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,915.26 / $2,124.69 / $3,642.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,952.91 / $1,952.91 / $3,556.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.62 / $1,952.91 / $14,478.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,470.01 / $1,968.81 / $2,461.01