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Delaware 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
$1,139.17 / $1,139.17 / $1,139.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.45 / $406.45 / $466.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.11 / $710.11 / $710.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.38 / $518.38 / $518.38
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.10 / $790.10 / $790.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.63 / $492.71 / $742.21