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Washington, DC rates for HCPCS L1902

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

Facilitymedian $42 · 10th–90th $42$1480%50%90th$42Professionalmedian $66 · 10th–90th $42$1820%5%10%10th90th$66$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$66.07
Typical High
$186.21
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$74.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$61.66
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$91.20
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$52.48
Typical High
$102.33