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Montana rates for HCPCS L2116

Ankle-foot orthosis (AFO), fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment

Facilitymedian $776 · 10th–90th $501–$1,0230%20%10th90th$776Professionalmedian $525 · 10th–90th $363–$8510%10%20%10th90th$525$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $489.78 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $851.14 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $851.14 / $851.14
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $776.25 / $1,513.56
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $776.25 / $1,513.56
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $741.31 / $1,096.48
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $630.96 / $851.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $457.09 / $501.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $398.11 / $616.60