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Indiana rates for HCPCS L1980

Ankle Foot Orthosis Single Upright Free Plantar Dorsiflexion Solid Stirrup Calf Band/Cuff (Single Bar Bk Orthosis) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.78 / $240.78 / $486.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.38 / $240.78 / $261.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.32 / $435.40 / $486.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.33 / $242.12 / $334.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.44 / $516.83 / $681.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.51 / $535.13 / $656.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.20 / $273.20 / $486.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.44 / $273.20 / $499.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.52 / $229.01 / $325.07