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Alaska rates for HCPCS L1920

Ankle-foot orthosis (AFO), single upright with static or adjustable stop (Phelps or Perlstein type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.23 / $314.23 / $314.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.11 / $246.11 / $246.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.66 / $246.11 / $262.36
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.85 / $126.85 / $126.85
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.48 / $479.57 / $550.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.85 / $126.85 / $246.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.66 / $262.36 / $471.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.41 / $274.50 / $457.50