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West Virginia rates for HCPCS L1907

Ankle orthosis (AO), supramalleolar with straps, with or without interface/pads, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.86 / $341.86 / $341.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.68 / $327.17 / $341.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.07 / $893.32 / $1,158.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.12 / $477.15 / $817.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.48 / $419.48 / $798.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.22 / $419.48 / $3,251.52
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.17 / $523.17 / $529.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.24 / $330.12 / $550.20