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Indiana 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
$676.08 / $676.08 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $676.08 / $870.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,380.38 / $1,737.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $660.69 / $1,148.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,380.38 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $794.33 / $1,071.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $630.96 / $912.01