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Arizona 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
$617.36 / $758.71 / $1,342.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.19 / $1,463.76 / $2,646.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.99 / $1,350.65 / $1,840.26
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 / $615.36 / $1,783.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.49 / $1,055.85 / $7,102.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.67 / $673.03 / $1,013.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.67 / $673.03 / $1,013.81