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Alaska rates for HCPCS L1910

Ankle-foot orthosis (AFO), posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $229.09 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $223.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $331.13 / $467.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $467.74 / $1,174.90
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $467.74 / $489.78
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $467.74 / $478.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $97.72 / $407.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $218.78 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $147.91 / $169.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $363.08 / $1,202.26