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Alaska rates for HCPCS L1990

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

Facilitymedian $316 · 10th–90th $162–$8320%20%40%10th90th$316Professionalmedian $380 · 10th–90th $275–$1,1750%10%20%10th90th$380$100.0$200.0$500.0$1.0K$2.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $346.74 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $1,000.00
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $512.86 / $831.76
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $831.76 / $1,949.84
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $831.76 / $870.96
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $831.76 / $870.96
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $707.95
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $316.23 / $602.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $331.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $426.58 / $2,137.96