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Minnesota 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
$422.36 / $422.36 / $422.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.00 / $382.41 / $422.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.71 / $607.86 / $846.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.29 / $577.47 / $607.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.44 / $1,875.64 / $5,209.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.63 / $746.90 / $894.87
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,113.54 / $1,799.58 / $4,101.91
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.63 / $704.63 / $725.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.37 / $607.86 / $2,802.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.82 / $290.58 / $612.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.82 / $262.22 / $610.40