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Alaska rates for HCPCS L2114

Ankle-foot orthosis (AFO), fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment

Facilitymedian $407 · 10th–90th $209–$1,0000%20%40%10th90th$407Professionalmedian $447 · 10th–90th $347–$1,4130%10%20%10th90th$447$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $407.38 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $1,202.26
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $645.65 / $1,000.00
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $1,000.00 / $2,041.74
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $1,000.00 / $1,047.13
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,000.00 / $1,047.13
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $891.25
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $407.38 / $630.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $371.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $512.86 / $2,570.40