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Arizona rates for HCPCS L1980

Ankle-foot orthosis (AFO), single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'BK' orthosis), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.64 / $220.52 / $362.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.74 / $522.86 / $945.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.84 / $482.45 / $657.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.20 / $273.20 / $273.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.44 / $199.44 / $564.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.16 / $368.36 / $2,218.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.25 / $206.27 / $310.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.25 / $206.27 / $295.93