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Ohio 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
$265.85 / $265.85 / $586.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.68 / $265.85 / $282.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.77 / $544.46 / $1,410.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.64 / $241.46 / $643.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.72 / $494.96 / $668.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.72 / $445.46 / $1,059.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.11 / $246.11 / $514.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.66 / $179.66 / $314.41
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.11 / $246.11 / $246.11
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.66 / $246.10 / $246.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.96 / $288.70 / $378.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.24 / $222.95 / $311.63