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Hawaii 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
Professional
Modifier
Low / Median / High Price
$336.22 / $336.22 / $336.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.58 / $784.58 / $784.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.11 / $1,086.38 / $1,086.38
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.62 / $1,034.16 / $1,034.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.57 / $987.62 / $1,382.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.40 / $784.58 / $1,086.38
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.91 / $822.83 / $940.03