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Texas 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
$60.51 / $62.88 / $84.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.32 / $62.88 / $102.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $101.62 / $149.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.48 / $64.48 / $80.68
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.90 / $78.90 / $135.49
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 / $86.88
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.91 / $722.40 / $858.09
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,283.27 / $1,314.05 / $1,314.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.64 / $93.74 / $135.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.92 / $121.94 / $155.81
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.00 / $881.27 / $947.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.30 / $135.49 / $310.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.64 / $90.53 / $135.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.42 / $63.42 / $106.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.33 / $81.45 / $96.97
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.17 / $82.18 / $135.49