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Florida 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
$169.82 / $181.97 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $208.93 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $245.47
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $208.93 / $275.42
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $239.88 / $398.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $134.90 / $169.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $194.98 / $316.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $194.98 / $281.84
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $398.11