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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
$426.58 / $478.63 / $1,513.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,174.90 / $1,348.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $501.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,047.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $602.56 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $398.11 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $489.78 / $870.96