go back

Alaska rates for HCPCS L2106

Ankle-foot orthosis (AFO), fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $512.86 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $562.34
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $776.25 / $1,318.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,318.26 / $2,398.83
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,318.26 / $1,380.38
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,318.26 / $1,348.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $1,047.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $549.54 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,000.00 / $3,388.44