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Colorado rates for HCPCS L1940

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $537.03 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $316.23 / $524.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $645.65 / $1,230.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $363.08 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $398.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $562.34 / $831.76
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $302.00 / $346.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $275.42 / $416.87