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Maryland 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
$407.38 / $512.86 / $891.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $691.83
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,000.00 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $436.52 / $676.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $489.78 / $794.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $537.03 / $831.76