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Kansas 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
$572.04 / $572.04 / $572.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.61 / $374.79 / $572.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.32 / $617.32 / $617.32
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 / $408.60 / $1,103.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.61 / $556.74 / $3,518.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.48 / $344.63 / $882.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.92 / $344.63 / $461.58