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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.17 / $884.17 / $884.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.60 / $408.60 / $408.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.27 / $408.60 / $435.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.61 / $210.61 / $210.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.27 / $980.53 / $1,548.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.61 / $210.61 / $408.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.27 / $435.59 / $783.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.86 / $772.38 / $1,287.30