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Kentucky 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
$202.52 / $309.56 / $321.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.32 / $309.56 / $355.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.94 / $511.94 / $511.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.92 / $602.28 / $633.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.70 / $286.22 / $350.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.71 / $813.08 / $938.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.16 / $733.43 / $993.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.88 / $372.88 / $738.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.20 / $372.88 / $3,094.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.75 / $383.85 / $479.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.32 / $292.72 / $476.54