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West Virginia rates for HCPCS L6641

Upper extremity addition, excursion amplifier, pulley type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.61 / $110.61 / $110.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.61 / $110.61 / $118.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.62 / $281.95 / $394.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.79 / $157.90 / $231.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.98 / $126.98 / $258.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $92.70 / $1,082.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.51 / $120.51 / $120.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.19 / $135.62 / $187.56