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Virginia rates for HCPCS L1940

Ankle-foot orthosis (AFO), plastic or other material, custom fabricated

Facilitymedian $562 · 10th–90th $275$7080%20%40%10th90th$562Professionalmedian $331 · 10th–90th $263$5500%20%10th90th$331$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$275.42
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$295.12
Typical High
$524.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$602.56
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$724.44
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$371.54
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$371.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$562.34
Typical High
$794.33
Medcost
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$371.54
Typical High
$562.34
Medcost
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$380.19
Typical High
$724.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$323.59
Typical High
$707.95
Sentara
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$467.74
Typical High
$1,288.25
Sentara
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$467.74
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$295.12
Typical High
$562.34
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$275.42
Typical High
$457.09