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Alaska rates for HCPCS L2116

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.27 / $1,101.55 / $1,101.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.14 / $501.14 / $501.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.83 / $501.14 / $534.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.31 / $258.31 / $258.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.91 / $1,221.60 / $1,928.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.31 / $258.31 / $501.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.83 / $534.24 / $939.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.50 / $1,229.58 / $1,603.80