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Idaho 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
$162.18 / $302.00 / $446.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $478.63 / $741.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $562.34 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $245.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $398.11 / $512.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $489.78 / $512.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $363.08 / $446.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $489.78 / $489.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $562.34
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $512.86 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $204.17 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $194.98 / $275.42