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Maine 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
$472.10 / $599.47 / $599.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$878.39 / $1,138.03 / $2,109.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.83 / $576.85 / $576.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.11 / $710.11 / $725.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.38 / $518.38 / $710.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.63 / $799.63 / $799.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.10 / $599.47 / $599.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.47 / $536.41 / $1,133.08