go back

Colorado 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
$112.41 / $112.41 / $112.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.56 / $112.90 / $153.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.73 / $225.54 / $409.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.83 / $120.05 / $148.46
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 / $234.38
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.41 / $132.06 / $287.89
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.06 / $132.06 / $132.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.53 / $250.91 / $401.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.67 / $89.95 / $141.12