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West Virginia rates for HCPCS L6691

Upper Extremity Addition Removable Insert Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.83 / $256.83 / $256.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.27 / $256.83 / $276.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.44 / $636.59 / $916.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.08 / $366.63 / $499.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.52 / $274.52 / $547.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $274.52 / $2,294.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.14 / $311.36 / $435.50