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Indiana 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
$470.04 / $470.04 / $949.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.28 / $470.04 / $510.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.27 / $712.27 / $712.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.26 / $849.97 / $949.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.55 / $466.53 / $636.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$651.09 / $997.17 / $1,329.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.24 / $1,044.66 / $1,282.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.80 / $550.80 / $949.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.09 / $550.80 / $842.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.76 / $445.84 / $634.54