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Florida rates for HCPCS L1980

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

Facilitymedian $200 · 10th–90th $178–$3160%20%40%10th90th$200Professionalmedian $219 · 10th–90th $170–$3630%20%10th90th$219$0.5$2.0$10.0$50.0$200.0$1.0K

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
$177.83 / $190.55 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $218.78 / $363.08
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $426.58 / $426.58
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $389.05 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $275.42
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $144.54 / $204.17
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $251.19 / $426.58
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $128.82 / $162.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $213.80 / $562.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $204.17 / $295.12
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $426.58