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Alaska rates for HCPCS L2112

Ankle-foot orthosis (AFO), fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $346.74 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $346.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $630.96 / $630.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $630.96 / $1,659.59
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $630.96 / $660.69
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $630.96 / $645.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $169.82 / $660.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $331.13 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $489.78 / $1,621.81