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Indiana 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
$300.86 / $300.86 / $607.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.38 / $300.86 / $326.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.21 / $544.03 / $607.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.52 / $319.70 / $441.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.90 / $668.65 / $857.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.67 / $668.65 / $820.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.44 / $328.44 / $607.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.76 / $328.44 / $578.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.82 / $289.73 / $406.15