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West Virginia rates for HCPCS L6642

Upper extremity addition, excursion amplifier, lever type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.47 / $157.47 / $157.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.15 / $157.47 / $169.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.76 / $401.46 / $562.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.69 / $224.82 / $313.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.10 / $225.10 / $355.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.32 / $225.10 / $1,490.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.06 / $172.06 / $200.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.88 / $196.14 / $267.04