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California 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
$542.91 / $542.91 / $2,849.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.52 / $542.91 / $2,758.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.58 / $758.89 / $790.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.28 / $1,498.43 / $3,135.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.63 / $544.83 / $941.02
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $1,169.28 / $2,087.98
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $1,310.40 / $3,052.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.11 / $710.11 / $784.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.38 / $518.38 / $1,173.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.92 / $633.52 / $1,086.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.57 / $691.33 / $1,501.18
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,699.91 / $4,711.96 / $4,711.96
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,094.49 / $5,094.49 / $7,407.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,085.38 / $2,085.38 / $2,085.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.14 / $873.16 / $1,017.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.38 / $518.38 / $964.47
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,864.10 / $1,864.10 / $1,864.10
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.92 / $790.10 / $791.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.96 / $450.97 / $939.69