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Oklahoma 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
$64.06 / $64.06 / $94.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.69 / $64.06 / $81.37
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.49 / $135.49 / $135.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.64 / $118.64 / $118.64
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 / $86.88 / $157.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.64 / $83.99 / $722.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.06 / $67.59 / $134.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.06 / $66.18 / $96.97