go back

Indiana rates for HCPCS L2116

Ankle Foot Orthosis Fracture Orthosis Tibial Fracture Orthosis Rigid Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.62 / $459.62 / $928.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.95 / $459.62 / $498.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.62 / $831.12 / $928.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.00 / $487.72 / $673.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.47 / $1,021.49 / $1,300.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.34 / $1,021.49 / $1,253.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.14 / $501.14 / $928.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.83 / $501.14 / $933.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.74 / $436.09 / $620.50