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Texas 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
$421.01 / $429.26 / $437.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.24 / $437.52 / $670.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.66 / $448.66 / $448.66
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.75 / $942.75 / $942.75
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 / $550.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,927.87 / $4,148.45 / $4,851.27
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,915.12 / $6,057.09 / $7,370.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.70 / $652.28 / $942.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.70 / $789.56 / $942.75
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.10 / $942.75 / $2,163.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.70 / $629.90 / $942.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.09 / $402.09 / $567.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.45 / $460.51 / $548.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.91 / $466.53 / $942.75