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West Virginia rates for HCPCS L1950

Ankle Foot Orthosis Spiral (Institute Of Rehabilitative Medicine Type) Plastic Custom-Fabricated. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.29 / $456.29 / $456.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.33 / $436.69 / $522.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.09 / $1,132.83 / $1,545.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.09 / $618.25 / $1,006.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.34 / $524.34 / $1,106.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.77 / $524.34 / $4,635.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.88 / $464.77 / $734.37