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Florida rates for HCPCS L1907

Afo Orthosis Supramalleolar With Straps With Orwithout Interface/Pads Custom Fabricated (Revised01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.42 / $312.98 / $358.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.83 / $329.45 / $596.86
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 / $429.15
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.59 / $418.59 / $418.59
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.37 / $455.46 / $681.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.31 / $545.31 / $545.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.26 / $332.97 / $433.47
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.47 / $396.47 / $681.64