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Alabama rates for HCPCS L1900

Ankle Foot Orthosis Spring Wire Dorsiflexion Assist Calf Band Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.32 / $307.32 / $307.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.47 / $307.32 / $307.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.75 / $225.75 / $225.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.91 / $189.91 / $343.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.63 / $189.91 / $301.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.08 / $161.76 / $243.87