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Washington, DC rates for HCPCS L1900

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $154.88 / $218.78
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $204.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $436.52 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $151.36 / $281.84