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Michigan 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
$537.03 / $537.03 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $467.74 / $676.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $2,884.03 / $5,495.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $954.99 / $1,000.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $549.54 / $1,122.02
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $1,819.70 / $1,995.26
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $758.58 / $1,174.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $549.54 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $758.58 / $1,047.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $446.68 / $630.96