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Oklahoma 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
$50.82 / $168.02 / $414.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.07 / $164.90 / $168.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.14 / $311.14 / $311.14
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 / $175.81 / $191.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.84 / $220.30 / $1,417.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.64 / $165.22 / $347.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.64 / $146.57 / $190.75