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Maine rates for HCPCS L1932

Ankle foot orthosis (AFO), rigid anterior tibial section, total carbon fiber or equal material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.65 / $636.96 / $636.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.34 / $1,209.22 / $2,241.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.35 / $612.91 / $612.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.38 / $731.38 / $731.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.91 / $533.91 / $731.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.64 / $849.64 / $849.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.88 / $636.96 / $636.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.02 / $523.53 / $1,203.96