go back

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
$1,068.97 / $1,068.97 / $1,068.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.85 / $1,068.97 / $1,102.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,317.91 / $1,538.47 / $2,142.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.78 / $1,461.55 / $1,538.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.96 / $4,746.52 / $13,183.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,783.50 / $1,890.51 / $2,265.05
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,817.95 / $4,554.05 / $10,380.35
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,783.50 / $1,783.50 / $1,835.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.52 / $1,538.47 / $7,102.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.68 / $751.55 / $1,571.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.68 / $751.55 / $1,544.90