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Oklahoma 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
Facility
Modifier
Low / Median / High Price
$204.37 / $204.37 / $301.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.80 / $204.37 / $220.38
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 / $273.20 / $273.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.16 / $267.94 / $2,218.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.52 / $206.62 / $427.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.52 / $206.01 / $295.93