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Oklahoma rates for HCPCS L2128

Knee-ankle-foot orthosis (KAFO), fracture orthosis, femoral fracture cast orthosis, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.44 / $913.44 / $1,346.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.61 / $913.44 / $1,029.68
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 / $1,207.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.17 / $1,197.59 / $9,986.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.50 / $963.76 / $1,910.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.50 / $920.78 / $1,382.63