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Illinois rates for HCPCS L1960

Ankle-foot orthosis (AFO), posterior solid ankle, plastic, custom fabricated

Facilitymedian $1,230 · 10th–90th $380–$3,7150%10%20%10th90th$1,230Professionalmedian $380 · 10th–90th $288–$7590%20%40%10th90th$380$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $1,819.70 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $380.19 / $602.56
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $575.44 / $741.31
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $1,445.44 / $5,128.61
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $562.34 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $524.81 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $758.58
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $812.83 / $1,047.13
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $977.24 / $977.24
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $602.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $602.56 / $1,023.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $371.54 / $616.60