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Maine 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
$416.87 / $489.78 / $1,584.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,202.26 / $1,380.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $549.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,071.52
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $616.60 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $380.19 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $512.86 / $891.25