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Nationwide rates for HCPCS L1902

Ankle Orthosis Ankle Gauntlet Or Similiar With Or Without Joints Prefabricated Off-The-Shelf (Revised 01/01/2016)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.36 / $58.33 / $78.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $54.02 / $91.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.13 / $103.59 / $183.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.74 / $54.74 / $76.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.94 / $58.00 / $58.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.34 / $56.94 / $61.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.22 / $46.17 / $74.78