go back

West Virginia rates for HCPCS L1920

Ankle Foot Orthosis Single Upright With Static Or Adjustable Stop (Phelps Or Perlstein Type) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.47 / $203.47 / $203.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.68 / $194.74 / $254.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.00 / $544.46 / $708.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.00 / $275.70 / $472.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.11 / $246.11 / $514.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.66 / $246.11 / $2,157.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.69 / $196.49 / $308.26