go back

North Carolina 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
$501.19 / $501.19 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $323.59 / $501.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $851.14 / $1,148.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $436.52 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $331.13 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $426.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $316.23 / $407.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $501.19 / $851.14
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $257.04 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $281.84 / $398.11
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,090.30
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $5,011.87