go back

Maine 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
$324.58 / $450.91 / $450.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.71 / $856.01 / $1,586.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.31 / $355.54 / $355.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.88 / $372.88 / $546.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.20 / $272.20 / $372.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.47 / $601.47 / $601.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.62 / $418.28 / $450.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.07 / $370.61 / $1,028.61