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West Virginia rates for HCPCS L6930

Below elbow, external power, self-suspended inner socket, removable forearm shell, Otto Bock or equal switch, cables, two batteries and one charger, switch control of terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,291.77 / $4,291.77 / $4,291.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,291.77 / $4,291.77 / $4,616.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,689.04 / $11,201.00 / $15,316.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,641.83 / $6,126.66 / $9,671.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,300.68 / $6,300.68 / $10,347.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,599.50 / $6,300.68 / $43,371.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,366.46 / $5,616.88 / $7,277.44