go back

Florida 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
$141.16 / $156.44 / $179.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.39 / $167.50 / $298.37
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 / $202.45
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.16 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.63 / $245.97 / $340.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.92 / $202.96 / $223.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.68 / $166.44 / $217.53
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.96 / $202.96 / $202.96