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West Virginia rates for HCPCS L1951

Ankle foot orthosis (AFO), spiral, (Institute of Rehabilitative Medicine-type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $501.19 / $758.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $1,380.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,621.81 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $4,897.79
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $1,047.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $537.03 / $812.83