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Oklahoma 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
$630.96 / $630.96 / $630.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $758.58 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $1,479.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $891.25 / $4,168.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $676.08 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,071.52 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $645.65 / $954.99