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Alabama rates for HCPCS L1902

Ankle orthosis (AO), ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $63.10 / $147.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $72.44 / $100.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $57.54 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $104.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $51.29 / $123.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $42.66 / $67.61