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Arizona rates for HCPCS L1900

Ankle-foot orthosis (AFO), spring wire, dorsiflexion assist calf band, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.51 / $168.65 / $298.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.26 / $326.05 / $589.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.64 / $300.85 / $409.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.91 / $189.91 / $189.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.63 / $138.63 / $398.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.89 / $239.59 / $1,586.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.90 / $151.62 / $228.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.04 / $151.62 / $228.40