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Indiana 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
$288.40 / $288.40 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $309.03 / $446.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $457.09 / $602.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $602.56 / $741.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $346.74 / $602.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $758.58 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $389.05 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $288.40 / $416.87