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Kentucky rates for HCPCS L2114

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.69 / $336.10 / $348.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.74 / $363.63 / $408.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.06 / $653.91 / $687.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.83 / $371.41 / $382.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.43 / $922.01 / $1,269.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.16 / $875.56 / $1,078.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.60 / $408.60 / $864.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.27 / $408.60 / $3,624.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.73 / $416.75 / $520.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.48 / $326.23 / $486.34