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Oklahoma 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
$349.29 / $349.29 / $514.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.35 / $349.29 / $349.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.83 / $646.83 / $646.83
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 / $408.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.61 / $457.95 / $3,518.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.48 / $352.10 / $730.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.48 / $326.23 / $468.02