go back

Virginia 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
$228.03 / $275.48 / $275.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.03 / $275.48 / $368.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.15 / $557.15 / $591.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.31 / $350.31 / $437.92
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.00 / $299.00 / $380.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.82 / $372.88 / $372.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.20 / $272.20 / $372.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.01 / $501.44 / $668.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.44 / $342.66 / $640.72
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.00 / $696.44 / $928.04
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.24 / $420.48 / $696.44
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.24 / $420.48 / $696.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.22 / $277.95 / $428.11