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Washington rates for HCPCS L2128

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

Facilitymedian $2,512 · 10th–90th $1,514$5,1290%20%10th90th$2,512Professionalmedian $1,698 · 10th–90th $891$3,2360%10%10th90th$1,698$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $1,737.80 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,148.15 / $2,238.72
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,511.89 / $2,511.89
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $2,884.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,202.26 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $1,202.26
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $2,884.03 / $7,244.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $2,754.23 / $4,466.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $1,778.28 / $2,187.76
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,511.89 / $2,570.40
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,570.40 / $2,570.40
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $3,801.89 / $5,128.61
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,137.96 / $2,511.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $2,511.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,238.72 / $2,884.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $2,630.27 / $3,162.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,047.13 / $1,819.70
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $2,238.72 / $3,981.07