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West Virginia rates for HCPCS L8417

Prosthetic sheath/sock, including a gel cushion layer, below knee (BK) or above knee (AK), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $43.65 / $75.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $58.88 / $123.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $144.54 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $436.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $53.70 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $56.23 / $74.13