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Maine 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
$296.14 / $386.56 / $386.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.41 / $733.85 / $1,360.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.70 / $335.49 / $335.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.44 / $328.44 / $468.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.76 / $276.44 / $328.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.63 / $515.63 / $515.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.58 / $386.56 / $386.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.81 / $317.72 / $730.66