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Alaska rates for HCPCS L1951

Ankle foot orthosis (AFO), spiral, (Institute of Rehabilitative Medicine-type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $588.84 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $831.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $851.14 / $954.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,000.00 / $3,235.94
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $954.99 / $1,000.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $954.99 / $977.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $1,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $707.95 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $741.31 / $2,454.71