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Oklahoma 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
$446.68 / $446.68 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $446.68 / $660.69
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 / $398.11 / $831.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $602.56 / $2,884.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $446.68 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $758.58 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $380.19 / $549.54