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Idaho 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
$421.36 / $645.24 / $702.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.14 / $501.14 / $670.72
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 / $564.95 / $802.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.81 / $761.91 / $802.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $599.16 / $721.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.27 / $783.22 / $1,174.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.41 / $561.41 / $842.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.94 / $400.12 / $621.50