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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
$573.38 / $573.38 / $573.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.57 / $548.75 / $573.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.41 / $1,406.25 / $1,942.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.41 / $776.90 / $1,250.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.83 / $740.83 / $1,376.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.80 / $740.83 / $5,768.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.56 / $560.55 / $922.82