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Arkansas 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
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $194.98 / $346.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $177.83 / $245.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $457.09 / $537.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $194.98 / $251.19