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West Virginia rates for HCPCS L6881

Automatic grasp feature, addition to upper limb electric prosthetic terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,362.09 / $2,362.09 / $2,362.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,341.25 / $2,362.09 / $2,540.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,225.36 / $6,503.07 / $8,429.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,131.11 / $3,473.46 / $5,954.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,801.20 / $2,801.20 / $5,814.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,044.88 / $2,044.88 / $23,670.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,403.19 / $3,155.55 / $4,184.25