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West Virginia rates for HCPCS L6692

Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.13 / $329.13 / $329.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.13 / $329.13 / $363.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.29 / $906.13 / $1,174.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.29 / $469.85 / $805.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.41 / $419.41 / $877.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.17 / $306.17 / $3,676.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.86 / $467.77 / $558.10