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Montana 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
$421.36 / $529.87 / $3,085.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.22 / $783.22 / $783.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.14 / $842.11 / $842.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.14 / $684.81 / $842.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.14 / $802.01 / $842.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.14 / $632.04 / $842.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.63 / $400.12 / $612.29