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Oregon 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
$398.11 / $398.11 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $389.05 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,412.54 / $1,737.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $501.19 / $741.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $537.03 / $724.44
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $645.65 / $676.08
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $676.08 / $676.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $575.44 / $891.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $588.84 / $707.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $954.99 / $2,570.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $758.58 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $1,071.52 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $323.59 / $616.60