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Idaho 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
$208.93 / $316.23 / $467.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $512.86 / $851.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $588.84 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $275.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $416.87 / $537.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $512.86 / $537.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $380.19 / $467.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $512.86 / $512.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $588.84
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $537.03 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $239.88 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $204.17 / $288.40