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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$346.74 / $389.05 / $1,174.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,513.56 / $1,778.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $501.19 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $446.68 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $398.11 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $407.38 / $645.65