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Ohio 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
$408.94 / $408.94 / $1,141.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.64 / $408.94 / $529.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.92 / $837.50 / $2,169.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.41 / $382.93 / $1,000.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.82 / $761.36 / $1,027.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.88 / $685.22 / $1,630.22
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 / $298.27 / $521.99
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.60 / $408.60 / $408.60
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.27 / $408.60 / $408.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.96 / $444.08 / $582.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $357.53 / $499.22