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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
$689.04 / $689.04 / $689.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.77 / $659.45 / $754.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.92 / $1,667.16 / $2,334.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.60 / $933.61 / $1,444.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.15 / $752.15 / $1,559.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.07 / $549.07 / $6,534.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.32 / $677.77 / $1,043.86