go back

North Dakota 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
Facility
Modifier
Low / Median / High Price
$707.95 / $741.31 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $537.03 / $741.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,122.02 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,479.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $870.96 / $4,677.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $512.86 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $1,479.11 / $1,479.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $512.86 / $1,071.52