go back

Massachusetts 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
$278.26 / $278.26 / $278.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.27 / $278.26 / $358.58
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.06 / $1,095.05 / $3,071.49
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.77 / $415.89 / $621.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.36 / $368.36 / $1,094.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.01 / $430.67 / $430.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.44 / $368.36 / $446.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.76 / $328.44 / $704.63
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.63 / $515.63 / $541.41
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.11 / $363.11 / $363.11
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.96 / $3,071.49 / $3,071.49
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.52 / $317.72 / $621.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.24 / $317.72 / $621.92