go back

Alabama rates for HCPCS L2114

Ankle Foot Orthosis Fracture Orthosis Tibial Fracture Orthosis Semi-Rigid Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.77 / $589.77 / $589.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.18 / $589.77 / $589.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.21 / $410.21 / $410.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.60 / $408.60 / $761.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.27 / $408.60 / $666.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.48 / $326.23 / $520.91