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Connecticut 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
$371.54 / $371.54 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $380.19 / $588.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $776.25 / $954.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $416.87 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $575.44 / $851.14
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $323.59 / $436.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $380.19 / $512.86