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Arizona 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
$707.95 / $707.95 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $537.03 / $1,698.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $758.58 / $1,023.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $602.56 / $1,258.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $977.24 / $1,905.46
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 / $707.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $660.69 / $2,041.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $446.68 / $5,128.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $524.81 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $446.68 / $676.08