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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
$404.21 / $449.69 / $812.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.84 / $600.84 / $675.13
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.33 / $987.62 / $1,422.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.21 / $492.71 / $785.38
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.06 / $541.55 / $691.33