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Michigan 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
$530.33 / $530.33 / $530.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.62 / $530.33 / $530.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,405.54 / $2,800.38 / $5,100.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.20 / $928.63 / $1,253.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.99 / $575.45 / $603.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.90 / $742.90 / $742.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.14 / $501.14 / $501.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.10 / $501.14 / $1,076.63
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.33 / $671.08 / $671.08
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.16 / $671.08 / $975.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.49 / $687.19 / $790.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.29 / $436.09 / $664.65