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Tennessee 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
$257.14 / $257.14 / $280.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.38 / $275.17 / $481.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.53 / $514.40 / $514.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.95 / $328.44 / $328.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.76 / $239.76 / $328.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.43 / $2,802.95 / $3,071.49
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,204.58 / $3,204.58 / $5,007.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.09 / $279.18 / $394.61