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Indiana rates for HCPCS L1930

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.22 / $150.22 / $303.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.05 / $156.00 / $163.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.79 / $271.66 / $303.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.76 / $160.94 / $222.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.53 / $333.14 / $424.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.00 / $333.88 / $409.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.81 / $175.81 / $303.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.34 / $175.81 / $311.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.64 / $144.04 / $202.83