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West Virginia rates for HCPCS L2010

Knee-ankle-foot orthosis (KAFO), single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'AK' orthosis), without knee joint, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $537.03 / $891.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $1,412.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,905.46 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $5,754.40
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 / $616.60 / $933.25