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West Virginia rates for HCPCS L1945

Ankle-foot orthosis (AFO), plastic, rigid anterior tibial section (floor reaction), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $645.65 / $933.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $1,479.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,905.46 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $5,754.40
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $933.25 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $691.83 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $707.95 / $1,096.48