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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
$81.28 / $112.20 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $112.20 / $245.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $177.83 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $134.90 / $239.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $125.89 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $295.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $107.15 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $97.72 / $162.18