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Texas rates for HCPCS L1990

Ankle-foot orthosis (AFO), double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'BK' orthosis), custom fabricated

Facilitymedian $398 · 10th–90th $224–$2,5120%10%10th90th$398Professionalmedian $245 · 10th–90th $219–$4170%50%10th90th$245$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $245.47 / $389.05
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,388.44 / $4,168.69
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $416.87
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $512.86 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $316.23
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $2,818.38 / $2,818.38
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $4,466.84 / $4,466.84
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $407.38 / $758.58
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $251.19 / $562.34
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $316.23
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $239.88
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $389.05 / $758.58
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $316.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $354.81 / $575.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $302.00 / $363.08
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $512.86 / $512.86