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Florida rates for HCPCS L1990

Ankle-foot orthosis (AFO), 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
$223.87 / $245.47 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $275.42 / $467.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $316.23
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $263.03
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $323.59 / $537.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $239.88 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $263.03 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $257.04 / $363.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $537.03