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Idaho 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
$608.15 / $1,181.27 / $1,181.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.96 / $842.96 / $968.03
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 / $1,048.17 / $1,514.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.15 / $1,281.59 / $1,349.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,007.84 / $1,214.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,181.27 / $1,317.43 / $1,976.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.34 / $984.81 / $1,416.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.27 / $673.03 / $1,045.40