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Maine rates for HCPCS L1960

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.79 / $505.38 / $505.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.52 / $959.42 / $1,778.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.03 / $398.56 / $398.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.66 / $523.66 / $611.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.28 / $382.28 / $523.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.13 / $674.13 / $674.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.81 / $505.37 / $505.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.92 / $415.38 / $922.31