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Kansas 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
$1,599.69 / $1,599.69 / $1,599.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.17 / $1,048.07 / $1,599.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.14 / $1,253.77 / $1,329.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,244.47 / $1,244.47 / $1,244.47
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 / $2,799.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.17 / $1,556.88 / $9,986.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.50 / $963.76 / $2,467.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.50 / $963.76 / $1,290.77