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Kentucky rates for HCPCS L2116

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

Facilitymedian $501 · 10th–90th $363–$1,4790%20%10th90th$501Professionalmedian $457 · 10th–90th $398–$6170%20%40%10th90th$457$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $457.09 / $645.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $870.96 / $933.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $457.09 / $501.19
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $1,174.90 / $1,513.56
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,071.52 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $1,479.11 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $616.60 / $4,466.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $575.44 / $741.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $398.11 / $537.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $426.58 / $616.60