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West Virginia rates for HCPCS L2020

Knee-ankle-foot orthosis (KAFO), double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'AK' orthosis), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.96 / $721.96 / $721.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.08 / $690.96 / $813.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.34 / $1,775.87 / $2,445.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.34 / $978.22 / $1,578.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.86 / $830.86 / $1,722.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.53 / $830.86 / $7,218.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.64 / $876.64 / $876.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.04 / $728.59 / $1,167.18