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Maine 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
$233.68 / $324.64 / $324.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.70 / $616.30 / $1,142.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.12 / $263.85 / $263.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.20 / $273.20 / $393.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.44 / $199.44 / $273.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.03 / $433.03 / $433.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.14 / $324.64 / $324.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.88 / $266.83 / $613.61