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Kansas 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
$262.08 / $262.08 / $262.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.89 / $171.71 / $262.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.77 / $286.70 / $304.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.58 / $284.58 / $284.58
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 / $189.91 / $498.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.89 / $255.07 / $1,586.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.08 / $157.88 / $404.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.26 / $157.88 / $220.78