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Arizona rates for HCPCS L2114

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.64 / $348.75 / $572.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.90 / $826.92 / $1,495.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.25 / $763.00 / $1,039.58
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 / $298.27 / $882.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.61 / $582.57 / $3,518.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.56 / $326.23 / $491.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.85 / $326.23 / $491.42