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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
$245.47 / $245.47 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $181.97 / $245.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $281.84 / $302.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23
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 / $398.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $239.88 / $758.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $158.49 / $1,949.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $251.19 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $158.49 / $218.78