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Kentucky 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
$182.54 / $273.05 / $283.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.58 / $278.67 / $302.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.55 / $451.55 / $451.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.70 / $531.24 / $558.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.47 / $274.67 / $308.99
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.43 / $728.16 / $900.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.68 / $664.05 / $876.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.79 / $313.79 / $672.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.07 / $313.79 / $2,820.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.62 / $338.57 / $423.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.69 / $259.50 / $417.55