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California rates for HCPCS L2108

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.95 / $722.95 / $4,282.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.83 / $722.95 / $4,282.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.99 / $2,142.42 / $4,711.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.73 / $722.95 / $1,288.19
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $1,757.26 / $3,137.97
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $1,969.40 / $4,587.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.23 / $752.15 / $793.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.07 / $549.07 / $1,605.75
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.16 / $678.19 / $1,632.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.57 / $1,039.00 / $2,256.12
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,811.85 / $7,050.38 / $7,050.38
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,124.59 / $7,124.59 / $10,956.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,684.96 / $2,684.96 / $2,684.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.68 / $1,289.29 / $1,484.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.07 / $549.07 / $1,337.21
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,801.54 / $2,801.54 / $2,801.54
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.16 / $960.77 / $1,187.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.23 / $611.04 / $1,497.53