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New York rates for HCPCS L2126

Knee-ankle-foot orthosis (KAFO), fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated

Facilitymedian $1,122 · 10th–90th $776$3,3110%10%10th90th$1,122Professionalmedian $813 · 10th–90th $617$2,5120%20%10th90th$813$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $1,445.44 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $776.25 / $1,122.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $1,819.70 / $3,630.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $794.33 / $2,818.38
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,513.56 / $1,513.56
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,513.56 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $1,819.70
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,019.95 / $7,079.46
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,819.70 / $3,467.37
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $891.25
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,071.52 / $1,148.15
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,737.80 / $1,737.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $776.25 / $4,168.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $1,148.15 / $3,090.30
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,023.29 / $1,071.52
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,071.52 / $1,148.15