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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
$398.11 / $398.11 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $457.09 / $912.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $2,754.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $467.74 / $724.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $549.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $616.60 / $4,168.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $380.19 / $5,888.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $616.60 / $616.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $380.19 / $575.44