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Oklahoma rates for HCPCS L2108

Ankle Foot Orthosis Fracture Orthosis Tibial Fracture Cast Orthosis Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.29 / $619.29 / $912.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.36 / $619.29 / $641.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.15 / $752.15 / $752.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.07 / $549.07 / $1,605.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.68 / $811.95 / $6,344.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.34 / $626.14 / $1,295.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.34 / $600.52 / $861.52