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Alaska rates for HCPCS L1930

Ankle-foot orthosis (AFO), plastic or other material, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.70 / $361.17 / $361.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.81 / $175.81 / $175.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.34 / $175.81 / $187.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.84 / $85.84 / $85.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.70 / $400.53 / $632.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.84 / $85.84 / $175.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.34 / $187.43 / $338.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.78 / $210.34 / $525.86