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Colorado 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
$275.42 / $478.63 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $251.19 / $354.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $562.34 / $1,096.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $239.88 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $263.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $501.19 / $724.44
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $501.19 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $194.98 / $229.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $194.98 / $295.12