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Indiana rates for HCPCS L1920

Ankle Foot Orthosis Single Upright With Static Or Adjustable Stop (Phelps Or Perlstein Type) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.98 / $244.98 / $494.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.47 / $244.98 / $265.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.02 / $442.99 / $494.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.64 / $239.88 / $331.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.77 / $519.71 / $692.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.72 / $544.46 / $668.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.11 / $246.11 / $494.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.66 / $246.11 / $433.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.99 / $232.43 / $326.24