go back

Alaska rates for HCPCS L2126

Knee-ankle-foot orthosis (KAFO), fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,430.53 / $1,430.53 / $1,430.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.96 / $842.96 / $842.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.36 / $842.96 / $868.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.49 / $434.49 / $434.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.59 / $1,586.45 / $2,504.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.49 / $434.49 / $842.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.36 / $868.25 / $1,469.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.11 / $1,596.80 / $2,082.78