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Arkansas rates for HCPCS L2128

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,073.74 / $1,073.74 / $1,073.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.39 / $1,073.74 / $1,073.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.69 / $2,207.23 / $2,452.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,931.80 / $1,931.80 / $2,097.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,097.12 / $2,097.12 / $2,097.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.09 / $1,207.09 / $1,545.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.18 / $1,207.09 / $1,509.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.50 / $955.16 / $1,290.77