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West Virginia rates for HCPCS L6687

Upper extremity addition, frame type socket, below elbow or wrist disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.48 / $339.48 / $339.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.49 / $339.48 / $365.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $934.62 / $1,211.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.00 / $484.62 / $830.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.60 / $432.60 / $846.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.80 / $432.60 / $3,549.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.41 / $456.41 / $532.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.39 / $482.48 / $575.65