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West Virginia rates for HCPCS L1902

Ankle orthosis (AO), ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.52 / $54.52 / $59.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.80 / $51.93 / $54.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.93 / $124.93 / $157.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.26 / $111.05 / $243.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.94 / $58.00 / $116.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.34 / $58.00 / $486.34
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.75 / $66.75 / $66.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.60 / $52.40 / $87.33