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Idaho 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
$292.72 / $403.91 / $524.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.88 / $372.88 / $465.94
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 / $449.34 / $598.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.67 / $568.60 / $598.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $441.71 / $526.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.09 / $584.50 / $876.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.97 / $418.97 / $628.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.99 / $277.95 / $440.84