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West Virginia rates for HCPCS L2030

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.38 / $655.38 / $655.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.87 / $627.23 / $659.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.57 / $1,585.71 / $2,220.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.90 / $888.00 / $1,369.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.15 / $713.15 / $1,492.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.60 / $713.15 / $6,254.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.22 / $632.88 / $1,059.53