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Arizona rates for HCPCS L1906

Ankle foot orthosis (AFO), multiligamentous ankle support, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.26 / $81.37 / $388.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.12 / $135.49 / $153.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.14 / $144.99 / $262.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.33 / $133.78 / $182.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.88 / $86.88 / $86.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.42 / $63.42 / $157.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.64 / $120.70 / $722.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.03 / $67.59 / $101.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.09 / $67.59 / $101.82