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Alaska rates for HCPCS L2010

Knee-ankle-foot orthosis (KAFO), single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'AK' orthosis), without knee joint, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,765.55 / $1,765.55 / $1,765.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.83 / $740.83 / $740.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.80 / $740.83 / $763.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.49 / $335.49 / $335.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,306.60 / $1,957.98 / $3,091.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.49 / $335.49 / $740.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.80 / $763.05 / $1,321.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.14 / $1,028.23 / $2,570.57