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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
$38.90 / $724.44 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $724.44 / $5,623.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $691.83 / $3,019.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $1,621.81
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,570.40 / $3,467.37
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,818.38 / $4,786.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $758.58 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $758.58
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $707.95 / $1,819.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,348.96 / $2,398.83
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $7,079.46 / $7,079.46
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,079.46 / $10,964.78 / $10,964.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,318.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,318.26 / $1,819.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $1,318.26
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,818.38
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $851.14 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $588.84 / $1,621.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $691.83 / $1,513.56