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Idaho 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
Professional
Modifier
Low / Median / High Price
$343.55 / $585.54 / $585.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.60 / $408.60 / $546.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.27 / $408.60 / $435.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.61 / $502.05 / $668.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.84 / $635.27 / $668.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $499.58 / $601.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.54 / $653.04 / $979.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.10 / $468.10 / $702.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.63 / $326.23 / $517.40