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California rates for HCPCS L1970

Ankle-foot orthosis (AFO), plastic with ankle joint, custom fabricated

Facilitymedian $468 · 10th–90th $363$2,0890%20%10th90th$468Professionalmedian $479 · 10th–90th $398$2,2910%20%40%10th90th$479$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
$478.63 / $478.63 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $478.63 / $2,137.96
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $630.96 / $724.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $467.74 / $1,995.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $549.54 / $1,479.11
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $1,288.25 / $2,041.74
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,621.81 / $3,235.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $549.54
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $562.34 / $1,071.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $794.33 / $1,380.38
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $4,265.80 / $4,265.80
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,248.07 / $7,943.28 / $7,943.28
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $1,174.90
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $794.33 / $1,148.15
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $812.83
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $1,659.59
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $588.84 / $794.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $398.11 / $1,096.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $457.09 / $933.25