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Missouri 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
$275.17 / $275.17 / $366.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.17 / $285.17 / $410.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.62 / $551.90 / $2,426.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.31 / $319.70 / $425.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.44 / $328.44 / $328.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.76 / $239.76 / $350.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.17 / $425.45 / $2,802.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.25 / $262.22 / $638.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.04 / $262.22 / $479.56