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Indiana rates for HCPCS L1950

Ankle-foot orthosis (AFO), spiral, (Institute of Rehabilitative Medicine type), plastic, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.62 / $458.62 / $926.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.98 / $458.62 / $497.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.02 / $829.32 / $926.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.00 / $505.33 / $697.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.96 / $1,019.27 / $1,297.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.62 / $1,019.27 / $1,250.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.34 / $524.34 / $926.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.77 / $524.34 / $950.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.08 / $453.52 / $635.16