go back

Arkansas 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
Facility
Modifier
Low / Median / High Price
$410.58 / $410.58 / $410.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.93 / $410.58 / $410.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.70 / $844.01 / $937.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.91 / $653.91 / $769.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.43 / $769.43 / $769.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.60 / $408.60 / $590.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.27 / $408.60 / $577.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.48 / $332.75 / $444.12