go back

West Virginia rates for HCPCS L1950

Ankle-foot orthosis (AFO), spiral, (Institute of Rehabilitative Medicine type), plastic, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $446.68 / $660.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $1,122.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $1,548.82 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $4,677.35
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $416.87 / $977.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $501.19 / $741.31