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California 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
$245.47 / $316.23 / $2,818.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $316.23 / $2,454.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $302.00 / $1,318.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $331.13 / $741.31
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,122.02 / $1,513.56
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,202.26 / $2,089.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $331.13 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $331.13
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $295.12 / $794.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $588.84 / $1,047.13
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,090.30
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $5,011.87 / $5,011.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $575.44 / $812.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $537.03
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,230.27
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $354.81 / $588.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $257.04 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $302.00 / $645.65