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Michigan 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
$335.08 / $1,007.37 / $2,257.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.56 / $335.08 / $361.06
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.06 / $440.06 / $440.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.07 / $1,769.37 / $3,222.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.40 / $586.74 / $792.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.15 / $381.38 / $391.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.39 / $469.39 / $469.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.88 / $372.88 / $372.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.88 / $372.88 / $680.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.00 / $1,128.10 / $2,257.64
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.14 / $424.00 / $616.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.03 / $434.19 / $499.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.63 / $277.95 / $419.93