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Kansas 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
$480.00 / $480.00 / $480.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.74 / $314.48 / $480.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.36 / $521.99 / $572.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.72 / $540.72 / $540.72
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 / $313.79 / $816.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.74 / $467.15 / $2,738.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.02 / $289.18 / $740.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.65 / $289.18 / $387.32