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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
$290.39 / $290.39 / $586.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.24 / $301.57 / $334.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.72 / $410.72 / $410.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.52 / $525.13 / $586.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.22 / $350.31 / $483.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.71 / $645.41 / $880.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.73 / $645.41 / $792.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.88 / $372.88 / $586.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.20 / $372.88 / $601.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.30 / $292.72 / $418.80