go back

Iowa 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
$1,068.97 / $1,068.97 / $1,102.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.48 / $810.24 / $1,369.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.96 / $842.96 / $1,483.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.96 / $1,783.50 / $2,229.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.59 / $1,499.36 / $1,575.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.47 / $1,733.45 / $7,102.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.92 / $760.36 / $1,843.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,483.96 / $1,498.00 / $2,049.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.33 / $1,753.77 / $2,835.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.92 / $673.03 / $1,587.23
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,322.07 / $1,322.07 / $1,322.07
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.44 / $1,322.07 / $1,322.07