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Oklahoma 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
$269.74 / $269.74 / $397.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.75 / $269.74 / $334.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.52 / $499.52 / $499.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.88 / $372.88 / $372.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.20 / $372.88 / $372.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.44 / $353.65 / $3,004.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.30 / $277.95 / $564.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.64 / $272.72 / $398.76