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California rates for HCPCS L2116

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.70 / $481.70 / $3,085.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.42 / $481.70 / $706.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.79 / $1,506.93 / $3,394.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.00 / $487.72 / $863.63
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $1,266.02 / $2,260.75
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $1,418.86 / $3,304.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.82 / $501.14 / $571.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.83 / $365.83 / $534.24
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.58 / $573.10 / $1,176.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.61 / $748.55 / $1,625.41
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.60 / $5,079.41 / $5,079.41
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,650.92 / $5,786.55 / $7,188.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,814.22 / $1,814.22 / $1,814.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.31 / $884.99 / $1,083.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.83 / $501.14 / $783.22
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,018.37 / $2,018.37 / $2,018.37
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.58 / $811.89 / $855.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.94 / $400.12 / $1,015.94