go back

Missouri 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
$459.08 / $459.08 / $611.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.08 / $475.77 / $726.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.94 / $920.79 / $4,047.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.98 / $505.33 / $709.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.34 / $524.34 / $524.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.77 / $382.77 / $558.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.07 / $709.80 / $4,501.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.84 / $437.50 / $1,065.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.88 / $437.50 / $869.91