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Hawaii 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
$380.19 / $467.74 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $1,288.25 / $1,819.70
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,548.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,479.11 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $478.63 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $1,000.00 / $1,584.89