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Florida rates for HCPCS L1990

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.11 / $243.93 / $279.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.53 / $256.76 / $465.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.79 / $313.79 / $313.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.07 / $229.07 / $334.52
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.96 / $326.23 / $326.23
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.20 / $328.50 / $531.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.60 / $239.39 / $263.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.33 / $259.56 / $359.42
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.39 / $239.39 / $300.85