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Idaho 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
Professional
Modifier
Low / Median / High Price
$102.00 / $333.31 / $482.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.25 / $315.25 / $345.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.13 / $315.25 / $336.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.49 / $388.28 / $551.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.09 / $551.21 / $551.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $406.79 / $484.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.66 / $538.29 / $807.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.85 / $399.64 / $578.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.71 / $251.69 / $387.85