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Delaware rates for HCPCS L1907

Ankle orthosis (AO), supramalleolar with straps, with or without interface/pads, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.33 / $272.33 / $312.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.48 / $419.48 / $419.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.22 / $306.22 / $419.48
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.72 / $661.72 / $661.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.33 / $330.12 / $497.28