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West Virginia rates for HCPCS L2108

Ankle-foot orthosis (AFO), fracture orthosis, tibial fracture cast orthosis, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $660.69 / $1,000.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $1,621.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $2,187.76 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $6,606.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $602.56 / $1,380.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $707.95 / $1,096.48