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Maryland rates for HCPCS L2128

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.31 / $954.88 / $1,639.37
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.00 / $1,124.00 / $1,433.58
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 / $881.18 / $1,207.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,467.98 / $2,097.12 / $3,019.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.00 / $1,046.23 / $1,667.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.34 / $1,157.34 / $1,467.98