go back

Missouri rates for HCPCS L1906

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.93 / $70.93 / $94.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.64 / $73.51 / $137.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.78 / $90.78 / $103.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.49 / $142.26 / $625.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.01 / $82.18 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.70 / $86.88 / $86.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.42 / $63.42 / $92.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.93 / $109.19 / $722.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.00 / $67.59 / $164.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.08 / $67.59 / $104.16