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North Dakota 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
$1,102.19 / $1,102.19 / $1,102.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.97 / $1,068.97 / $1,102.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,416.48 / $1,674.78 / $1,716.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,783.50 / $1,801.34 / $2,265.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.07 / $1,102.19 / $7,102.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.90 / $747.19 / $1,207.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.38 / $747.19 / $1,601.12