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Montana 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
$254.79 / $1,865.65 / $1,865.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.29 / $513.29 / $513.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.44 / $551.90 / $551.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.44 / $448.81 / $551.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.04 / $525.62 / $551.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.44 / $414.23 / $552.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.00 / $262.22 / $401.27