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Washington, DC rates for HCPCS L2128

Knee Ankle Foot Orthosis Fracture Orthosis Femoral Fracture Cast Orthosis Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$858.31 / $858.31 / $858.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.31 / $858.31 / $858.31
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.00 / $1,124.00 / $1,124.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.18 / $881.18 / $881.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,363.13 / $1,363.13 / $4,162.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.48 / $975.06 / $1,628.50