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Idaho 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
$933.25 / $1,348.96 / $2,238.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,454.71 / $3,801.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $2,884.03 / $2,884.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,202.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,949.84 / $2,630.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,511.89 / $2,630.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $1,905.46 / $2,238.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,511.89 / $2,511.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $2,884.03
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,630.27 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,122.02 / $1,258.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $954.99 / $1,348.96