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California rates for HCPCS L1906

Ankle Foot Orthosis Multiligamentous Ankle Support Prefabricated Off-The-Shelf (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.37 / $81.37 / $521.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.56 / $81.37 / $295.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.89 / $92.89 / $135.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.79 / $254.57 / $573.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.09 / $82.18 / $128.72
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $213.86 / $381.89
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.64 / $239.70 / $558.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.70 / $86.88 / $96.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.42 / $63.42 / $112.88
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.56 / $115.87 / $198.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.39 / $126.46 / $285.43
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.81 / $722.40 / $858.09
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,283.27 / $1,314.05 / $1,314.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.75 / $277.75 / $277.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.64 / $144.84 / $183.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.42 / $86.88 / $148.30
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.97 / $340.97 / $340.97
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.56 / $144.52 / $144.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.50 / $68.78 / $180.65