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North Carolina 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
$1,047.13 / $1,047.13 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $758.58 / $1,047.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,202.26 / $2,398.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $758.58 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $1,000.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $660.69 / $891.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $1,071.52 / $1,862.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $602.56 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $602.56 / $912.01
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $7,079.46 / $7,079.46
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,079.46 / $7,079.46 / $10,964.78