go back

West Virginia rates for HCPCS L2106

Ankle-foot orthosis (AFO), fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $416.87 / $691.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $1,023.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,412.54 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $512.86 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $436.52 / $630.96