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Arkansas 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
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $549.54 / $707.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $812.83 / $1,023.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $512.86 / $707.95
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $933.25 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $1,047.13 / $1,230.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $457.09 / $616.60