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West Virginia rates for HCPCS L6640

Upper Extremity Additions Shoulder Abduction Joint Pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.43 / $166.43 / $166.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.41 / $166.43 / $179.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.38 / $467.42 / $609.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.61 / $280.41 / $480.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.07 / $244.07 / $469.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.17 / $244.07 / $1,799.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.02 / $381.02 / $381.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.33 / $234.30 / $282.20