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Maine 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
$431.62 / $599.61 / $599.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$878.60 / $1,138.31 / $2,110.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.72 / $511.80 / $511.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.14 / $501.14 / $726.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.83 / $365.83 / $501.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.83 / $799.83 / $799.83
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.16 / $599.61 / $599.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.56 / $492.83 / $1,133.35