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West Virginia rates for HCPCS L7191

Electronic elbow, child, Variety Village or equal, myoelectronically controlled

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $5,754.40 / $5,754.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $6,309.57 / $11,220.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $7,244.36 / $15,135.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,762.47 / $7,762.47 / $13,182.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $19,952.62 / $19,952.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $6,309.57 / $60,255.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $7,244.36 / $12,882.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,495.41 / $7,585.78 / $9,772.37