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Indiana 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
$761.46 / $761.46 / $1,538.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.17 / $761.46 / $826.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,215.39 / $1,376.93 / $1,538.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.53 / $789.98 / $1,090.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,153.84 / $1,692.32 / $2,299.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,307.70 / $1,692.32 / $2,076.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.96 / $842.96 / $1,538.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.36 / $842.96 / $1,483.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.68 / $735.49 / $1,027.98