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New York rates for HCPCS L2000

Knee-ankle-foot orthosis (KAFO), single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'AK' orthosis), custom fabricated

Facilitymedian $1,000 · 10th–90th $562$2,3440%20%10th90th$1,000Professionalmedian $692 · 10th–90th $525$1,8620%20%10th90th$692$1.0$10.0$100.0$1.0K$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
$436.52 / $1,047.13 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $588.84 / $954.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $2,630.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $2,137.96
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,071.52 / $1,071.52
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,071.52 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $1,584.89
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,187.76 / $5,011.87
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,318.26 / $2,511.89
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $691.83
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $776.25 / $831.76
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,258.93 / $1,258.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $660.69 / $3,467.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $851.14 / $2,187.76
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $776.25 / $794.33
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $776.25 / $831.76