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Texas rates for HCPCS L1970

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

Facilitymedian $676 · 10th–90th $355–$1,7380%10%20%10th90th$676Professionalmedian $398 · 10th–90th $355–$6170%20%40%10th90th$398$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
$354.81 / $758.58 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $416.87 / $602.56
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $575.44 / $616.60
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,388.44 / $4,168.69
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $380.19
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $645.65 / $794.33
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $812.83 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $549.54
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
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $660.69 / $1,202.26
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $416.87 / $812.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $426.58 / $436.52
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $616.60 / $1,202.26
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $549.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $562.34 / $933.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $478.63 / $575.44
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $812.83 / $812.83