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West Virginia rates for HCPCS L1940

Ankle-foot orthosis (AFO), plastic or other material, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.83 / $287.83 / $287.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.32 / $287.83 / $361.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.48 / $752.15 / $975.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.15 / $421.60 / $722.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.88 / $372.88 / $738.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.20 / $372.88 / $3,094.49
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.09 / $390.01 / $445.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.58 / $297.82 / $465.34