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Oklahoma 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
$301.73 / $301.73 / $444.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.00 / $290.55 / $301.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.58 / $558.75 / $558.75
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 / $328.44 / $328.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.29 / $395.60 / $2,802.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.82 / $304.16 / $631.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.82 / $287.74 / $376.19