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Arizona 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
$417.68 / $449.13 / $754.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.74 / $1,014.19 / $1,833.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.86 / $935.81 / $1,275.04
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 / $365.83 / $1,076.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.31 / $714.52 / $4,303.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.27 / $400.12 / $602.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.63 / $400.12 / $602.72