go back

West Virginia rates for HCPCS L2000

Knee Ankle Foot Orthosis Single Upright Free Knee Free Ankle Solid Stirrup Thigh And Calf Bands/Cuffs (Single Bar Ak Orthosis) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.65 / $614.65 / $614.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.57 / $588.26 / $630.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.32 / $1,550.03 / $2,082.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.32 / $832.81 / $1,371.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.02 / $714.02 / $1,489.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.23 / $714.02 / $6,243.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.80 / $625.86 / $989.25