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Arizona 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
$515.57 / $555.55 / $928.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.63 / $1,317.23 / $2,381.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.59 / $1,215.45 / $1,656.05
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 / $540.80 / $1,218.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.49 / $928.16 / $5,601.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.22 / $519.67 / $782.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.69 / $519.67 / $782.82