go back

Vermont 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
$251.19 / $338.84 / $446.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $398.11
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $691.83 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $338.84 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $436.52 / $1,548.82