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Delaware 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
$102.33 / $125.89 / $363.08
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 / $138.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $151.36 / $199.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $162.18 / $234.42