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New York rates for HCPCS L2114

Ankle-foot orthosis (AFO), fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment

Facilitymedian $550 · 10th–90th $380–$1,5850%20%10th90th$550Professionalmedian $398 · 10th–90th $302–$1,1750%20%10th90th$398$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $707.95 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $380.19 / $549.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $1,778.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $1,348.96
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $724.44 / $724.44
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $724.44 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $891.25
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $1,479.11 / $3,388.44
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $891.25 / $1,698.24
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $398.11
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $524.81 / $562.34
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $851.14 / $851.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $380.19 / $1,995.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $562.34 / $1,479.11
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $501.19 / $524.81
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $524.81 / $562.34