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Arizona 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
$245.47 / $309.03 / $562.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $389.05 / $812.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $645.65 / $1,230.27
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 / $331.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $446.68 / $2,818.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $263.03 / $3,235.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $309.03 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $263.03 / $398.11