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Ohio 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
$87.49 / $163.03 / $484.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.35 / $163.03 / $198.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.79 / $239.79 / $239.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.01 / $333.88 / $865.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $148.00 / $394.58
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.00 / $258.00 / $258.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.88 / $303.52 / $409.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.29 / $273.18 / $649.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.81 / $175.81 / $191.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.34 / $128.34 / $191.33
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.81 / $175.81 / $191.33
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.34 / $175.81 / $191.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.10 / $225.64 / $295.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.05 / $142.55 / $200.33