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Idaho 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
$206.00 / $367.77 / $477.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.44 / $328.44 / $405.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.76 / $328.44 / $350.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.29 / $409.13 / $544.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.48 / $517.73 / $544.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $407.14 / $490.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.20 / $532.21 / $798.32
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.49 / $381.49 / $572.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.45 / $262.22 / $415.89