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Alaska rates for HCPCS L1940

Ankle-foot orthosis (AFO), plastic or other material, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.62 / $667.87 / $667.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.88 / $372.88 / $372.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.20 / $372.88 / $397.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.44 / $179.44 / $179.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.60 / $740.66 / $1,169.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.44 / $179.44 / $372.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.20 / $397.51 / $701.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.82 / $398.76 / $972.39