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Kentucky 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
$96.88 / $136.97 / $142.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.88 / $144.46 / $163.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.90 / $266.51 / $280.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.66 / $148.00 / $156.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.88 / $375.78 / $485.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.00 / $349.06 / $439.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.81 / $175.81 / $348.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.34 / $175.81 / $468.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.27 / $169.85 / $212.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.64 / $132.96 / $193.90