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Minnesota 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
$645.24 / $645.24 / $645.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.58 / $533.35 / $645.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$795.50 / $928.63 / $1,293.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.90 / $882.20 / $928.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.14 / $2,865.70 / $7,959.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.63 / $1,141.22 / $1,367.31
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,701.33 / $2,749.50 / $6,267.13
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.63 / $1,076.63 / $1,108.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.06 / $928.63 / $4,303.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.74 / $443.95 / $934.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.74 / $446.80 / $932.53