go back

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
$1,071.52 / $1,071.52 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $977.24 / $1,348.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $2,187.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $891.25 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,238.72 / $2,630.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $933.25 / $1,230.27