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Nevada 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
$66.26 / $66.26 / $76.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.26 / $80.76 / $136.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.02 / $194.02 / $194.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.83 / $120.05 / $240.40
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
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.91 / $161.33 / $279.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.43 / $89.95 / $149.91