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Kentucky rates for HCPCS L1907

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.35 / $363.32 / $363.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.67 / $350.35 / $364.16
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.39 / $579.39 / $579.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.32 / $681.64 / $716.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.82 / $354.66 / $396.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.23 / $949.19 / $1,091.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.55 / $847.49 / $1,124.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.48 / $419.48 / $798.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.22 / $419.48 / $3,251.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.78 / $378.94 / $455.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.71 / $332.97 / $449.37