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Maine 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
$263.48 / $334.57 / $334.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.25 / $635.16 / $1,177.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.00 / $321.95 / $321.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.25 / $315.25 / $405.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.13 / $230.13 / $315.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.29 / $446.29 / $446.29
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.00 / $334.56 / $348.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.93 / $274.99 / $632.40