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Alaska rates for HCPCS L2108

Ankle-foot orthosis (AFO), fracture orthosis, tibial fracture cast orthosis, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.73 / $1,303.73 / $1,303.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.15 / $752.15 / $752.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.07 / $549.07 / $549.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.68 / $387.68 / $387.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,282.55 / $1,445.82 / $2,282.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.68 / $387.68 / $752.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.07 / $1,001.28 / $1,582.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.58 / $1,455.27 / $1,898.18