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Missouri 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
$400.99 / $400.99 / $534.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.99 / $415.58 / $634.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.99 / $804.29 / $3,535.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.99 / $466.53 / $619.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.80 / $550.80 / $550.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.09 / $402.09 / $567.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.99 / $620.00 / $4,148.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.60 / $382.15 / $931.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.44 / $382.15 / $738.54