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Illinois 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
$794.33 / $794.33 / $1,584.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $794.33 / $1,380.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,951.21 / $10,715.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,174.90 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $1,548.82
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,584.89 / $1,995.26
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,230.27 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $776.25 / $1,148.15