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Texas rates for HCPCS L2114

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

Facilitymedian $513 · 10th–90th $170$1,9050%10%10th90th$513Professionalmedian $355 · 10th–90th $295$4680%50%10th90th$355$1.0$5.0$20.0$100.0$500.0$2.0K

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
$151.36 / $190.55 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $346.74 / $467.74
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $436.52 / $436.52
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,388.44 / $4,168.69
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $354.81
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $758.58 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $407.38
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $3,630.78 / $3,630.78
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $6,606.93 / $6,606.93
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $562.34 / $977.24
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $363.08 / $707.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $426.58 / $436.52
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $288.40
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $549.54 / $977.24
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $407.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $457.09 / $758.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $398.11 / $467.74
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $758.58 / $758.58