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Idaho 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
$140.02 / $210.05 / $272.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.81 / $175.81 / $222.88
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 / $233.68 / $311.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.13 / $295.70 / $311.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $229.70 / $273.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.55 / $303.95 / $455.94
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.88 / $217.88 / $326.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.93 / $132.96 / $210.87