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Alaska rates for HCPCS L2128

Knee-ankle-foot orthosis (KAFO), fracture orthosis, femoral fracture cast orthosis, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,188.31 / $2,188.31 / $2,188.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.09 / $1,207.09 / $1,207.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.18 / $1,207.09 / $1,243.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.17 / $622.17 / $622.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,426.81 / $2,446.94 / $3,831.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.17 / $622.17 / $1,207.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.18 / $1,207.09 / $2,451.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.66 / $1,474.80 / $3,186.08