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Arizona 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
$138.78 / $160.06 / $233.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.61 / $273.61 / $302.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.29 / $337.00 / $609.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.23 / $310.97 / $408.15
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 / $128.34 / $351.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.84 / $237.44 / $1,417.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.17 / $132.96 / $216.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.05 / $132.96 / $200.28