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Kansas 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
$457.09 / $457.09 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $302.00 / $457.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $537.03 / $549.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $645.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $416.87 / $1,380.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $288.40 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $467.74 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $275.42 / $389.05