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Illinois 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
$478.63 / $478.63 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $478.63 / $776.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,513.56 / $9,120.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $707.95 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $933.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $933.25 / $1,174.90
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,202.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $741.31 / $1,318.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $467.74 / $691.83