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Arkansas rates for HCPCS L1945

Ankle-foot orthosis (AFO), plastic, rigid anterior tibial section (floor reaction), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $562.34 / $933.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $1,071.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $562.34 / $776.25
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $1,202.26 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $501.19 / $676.08