go back

North Dakota 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
$1,405.48 / $1,405.48 / $1,405.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.27 / $1,342.27 / $1,405.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,806.23 / $2,135.60 / $2,188.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,239.50 / $2,261.90 / $2,844.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.52 / $1,405.48 / $9,986.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.61 / $963.76 / $1,606.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.50 / $963.76 / $1,606.26