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Virginia 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
$858.31 / $1,036.90 / $1,036.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.31 / $1,036.90 / $1,103.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,097.12 / $2,097.12 / $2,227.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.64 / $1,148.64 / $1,481.91
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 / $1,887.41 / $2,516.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.17 / $1,289.76 / $2,352.98
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.00 / $2,621.40 / $3,493.12
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.95 / $1,582.67 / $2,502.86
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.95 / $1,582.67 / $2,502.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.08 / $1,046.23 / $1,575.99