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Delaware 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 / $74.13 / $173.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $47.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $44.67 / $51.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $54.95 / $79.43