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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
$467.74 / $467.74 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $467.74 / $630.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $977.24 / $1,202.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $467.74 / $831.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $954.99 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $562.34 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $446.68 / $630.96