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Nationwide rates for HCPCS L4397

Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.64 / $103.92 / $123.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.36 / $112.90 / $160.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.02 / $206.16 / $394.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.31 / $120.05 / $165.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.02 / $127.07 / $127.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.76 / $92.76 / $213.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.95 / $98.44 / $156.91