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Connecticut rates for HCPCS L1971

Ankle foot orthosis (AFO), plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.91 / $267.91 / $267.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $267.91 / $303.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.19 / $551.21 / $630.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.00 / $230.00 / $321.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.25 / $315.25 / $315.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.13 / $230.13 / $315.25
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.29 / $358.29 / $358.29
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.29 / $358.29 / $507.11
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.89 / $301.89 / $301.89
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.80 / $319.80 / $319.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.86 / $274.99 / $458.32