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Idaho 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
$71.18 / $91.43 / $137.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.88 / $86.88 / $113.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.42 / $86.88 / $92.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.64 / $95.44 / $135.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.94 / $128.72 / $135.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $99.99 / $119.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.64 / $132.31 / $198.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.84 / $98.91 / $142.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.50 / $67.59 / $106.04