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Maryland rates for HCPCS L2114

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.91 / $323.64 / $572.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.00 / $413.00 / $525.98
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 / $408.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.60 / $769.43 / $1,107.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.49 / $383.86 / $611.87
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.76 / $391.76 / $538.60