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Texas 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
$395.21 / $402.96 / $410.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.47 / $410.71 / $604.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.99 / $884.99 / $884.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.18 / $421.18 / $526.95
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.99 / $884.99 / $884.99
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 / $501.14
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,885.12 / $4,303.54 / $5,079.41
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,650.92 / $5,786.55 / $7,188.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.31 / $598.40 / $884.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.31 / $796.49 / $884.99
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.74 / $884.99 / $2,031.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.31 / $591.33 / $884.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.83 / $365.83 / $534.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.43 / $482.18 / $574.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.49 / $487.72 / $884.99