go back

Kansas 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
$309.03 / $309.03 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $245.47 / $346.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $354.81 / $363.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
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 / $575.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $288.40 / $1,000.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $194.98 / $2,511.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $316.23 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $194.98 / $275.42