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Pennsylvania 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
$549.54 / $2,137.96 / $2,137.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $630.96 / $2,137.96
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,096.48 / $1,348.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $776.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,380.38 / $2,041.74
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $891.25 / $1,348.96
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $933.25 / $1,071.52
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $2,137.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $660.69 / $1,288.25
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $1,698.24
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $1,621.81
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $1,258.93
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $954.99 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $1,412.54 / $1,698.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $660.69 / $1,096.48