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West Virginia rates for HCPCS L6647

Upper extremity addition, shoulder lock mechanism, body powered actuator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $300.00 / $300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.35 / $300.00 / $322.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.65 / $825.93 / $1,070.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.67 / $441.16 / $756.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.51 / $405.51 / $738.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.02 / $405.51 / $3,006.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.20 / $367.82 / $510.99