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California 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
Facility
Modifier
Low / Median / High Price
$460.06 / $460.06 / $2,946.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.95 / $460.06 / $2,946.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.36 / $1,439.24 / $3,241.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.29 / $466.53 / $883.21
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $1,209.15 / $2,159.19
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $1,355.12 / $3,156.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.69 / $550.80 / $550.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.09 / $402.09 / $567.33
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.40 / $194.88 / $1,123.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.79 / $714.92 / $1,552.41
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,871.05 / $4,851.27 / $4,851.27
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,915.12 / $6,057.09 / $7,370.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,932.63 / $1,932.63 / $1,932.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.70 / $887.13 / $1,036.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.09 / $550.80 / $771.05
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,927.70 / $1,927.70 / $1,927.70
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.40 / $276.08 / $817.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.98 / $388.84 / $928.02