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Colorado 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
$369.19 / $369.19 / $369.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.75 / $369.19 / $556.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.27 / $740.76 / $1,344.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.93 / $382.93 / $394.42
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 / $739.18
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.61 / $369.19 / $824.09
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.61 / $210.61 / $210.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.27 / $824.09 / $1,305.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.20 / $326.23 / $491.42