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West Virginia rates for HCPCS L6689

Upper extremity addition, frame type socket, shoulder disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $426.58 / $741.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $1,122.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,479.11 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $4,365.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $537.03 / $933.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $512.86 / $676.08