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West Virginia rates for HCPCS L6925

Wrist Disarticulation External Power Self-Suspended Inner Socket Removable Forearm Shell Otto Bock Or Equal Electrodes Cables Two Batteries And One Charger Myoelectronic Control Of Terminal Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,973.47 / $4,973.47 / $4,973.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,973.47 / $4,973.47 / $5,349.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,008.93 / $13,692.51 / $17,749.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,592.69 / $7,548.08 / $12,939.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,261.93 / $7,261.93 / $12,636.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,301.21 / $5,301.21 / $49,465.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,060.03 / $6,444.64 / $8,433.37