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Indiana 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
$691.83 / $691.83 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $691.83 / $954.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,412.54 / $1,778.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $724.44 / $1,288.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,513.56 / $1,819.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $831.76 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $660.69 / $933.25