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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
$565.41 / $565.41 / $565.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.51 / $565.41 / $565.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.81 / $813.81 / $813.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.19 / $1,162.31 / $1,291.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$987.62 / $987.62 / $1,017.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.62 / $987.62 / $987.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.11 / $710.11 / $813.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.38 / $518.38 / $764.48
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.88 / $935.88 / $935.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.64 / $458.23 / $611.58