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Arizona 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
$593.72 / $595.77 / $1,054.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.68 / $1,407.72 / $2,545.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.20 / $1,298.93 / $1,769.79
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 / $1,605.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.68 / $1,025.08 / $6,344.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.21 / $600.52 / $904.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.76 / $600.52 / $904.60