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Maine 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
$66.29 / $89.50 / $92.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.94 / $174.83 / $324.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.18 / $86.45 / $86.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.88 / $86.88 / $111.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.42 / $86.88 / $86.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.84 / $122.84 / $122.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.37 / $92.09 / $93.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.08 / $75.69 / $174.06