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Oklahoma 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
$616.60 / $616.60 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $691.83 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $1,318.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $870.96 / $4,073.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $630.96 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,047.13 / $1,380.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $602.56 / $870.96