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Iowa 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
$382.41 / $422.36 / $422.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.80 / $315.69 / $510.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.44 / $328.44 / $578.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.44 / $704.63 / $880.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.34 / $571.54 / $607.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.20 / $675.41 / $2,802.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.28 / $296.25 / $718.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.17 / $586.32 / $798.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.53 / $683.31 / $1,104.86
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.14 / $620.02 / $1,085.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.28 / $262.22 / $618.39
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.11 / $515.11 / $515.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.94 / $515.11 / $515.11