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Idaho 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
$398.11 / $588.84 / $870.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $933.25 / $1,445.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,096.48 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $707.95 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $707.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $954.99 / $1,047.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $954.99 / $1,000.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $707.95 / $870.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $954.99 / $954.99
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $724.44 / $1,096.48
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,000.00 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $512.86 / $524.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $446.68 / $630.96