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Missouri 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
$444.46 / $460.62 / $1,485.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.46 / $460.62 / $703.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.01 / $891.46 / $3,919.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.00 / $487.72 / $687.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.14 / $501.14 / $501.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.83 / $365.83 / $534.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.46 / $687.20 / $4,303.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.50 / $423.56 / $1,031.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.29 / $423.56 / $665.08