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Kentucky 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
$191.06 / $293.77 / $304.64
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
$355.79 / $571.54 / $600.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.32 / $307.87 / $319.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.66 / $805.89 / $1,012.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.97 / $714.44 / $943.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.44 / $328.44 / $688.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.76 / $328.44 / $2,886.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.69 / $364.26 / $455.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.09 / $282.58 / $388.28