go back

Missouri 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
$163.07 / $163.07 / $217.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.01 / $169.00 / $257.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.50 / $327.08 / $1,437.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.00 / $160.94 / $252.02
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 / $191.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.58 / $251.04 / $1,417.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.15 / $155.40 / $378.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.10 / $154.01 / $256.95