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Arkansas rates for HCPCS L2112

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.68 / $354.68 / $354.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.00 / $344.88 / $354.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.87 / $729.09 / $810.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.54 / $571.54 / $613.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.45 / $613.45 / $613.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.44 / $328.44 / $510.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.76 / $328.44 / $498.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.82 / $287.45 / $383.65