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California 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
Facility
Modifier
Low / Median / High Price
$810.24 / $810.24 / $4,453.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.22 / $810.24 / $4,453.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.28 / $2,236.23 / $4,899.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.53 / $789.98 / $1,430.78
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $1,827.23 / $3,262.90
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $2,047.83 / $4,770.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.39 / $842.96 / $842.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.36 / $615.36 / $868.25
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.98 / $793.18 / $1,697.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.03 / $1,080.36 / $2,345.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,123.09 / $7,331.10 / $7,331.10
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,633.90 / $8,633.90 / $13,490.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,765.55 / $2,765.55 / $2,765.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.49 / $1,335.35 / $1,564.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.36 / $842.96 / $1,311.88
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,913.09 / $2,913.09 / $2,913.09
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.98 / $1,123.67 / $1,234.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.10 / $673.03 / $1,543.39