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Minnesota 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
$1,071.52 / $1,071.52 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $812.83 / $1,122.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,548.82 / $2,238.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,548.82 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $5,754.40 / $13,803.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,041.74 / $2,290.87
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $5,754.40 / $10,964.78
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $2,398.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,548.82 / $3,090.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $676.08 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $660.69 / $1,819.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $741.31 / $1,905.46