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West Virginia rates for HCPCS L2112

Ankle-foot orthosis (AFO), fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.92 / $316.92 / $316.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.89 / $303.31 / $316.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.74 / $771.59 / $1,073.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.74 / $429.42 / $685.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.44 / $328.44 / $688.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.76 / $328.44 / $2,886.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.00 / $306.04 / $461.01