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California 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
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $630.96 / $5,370.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $602.56 / $2,754.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $1,513.56
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,398.83 / $3,235.94
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,630.27 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $741.31
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $933.25 / $1,698.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,288.25 / $2,238.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $6,606.93 / $6,606.93
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,332.54 / $10,471.29 / $10,471.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,122.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $1,174.90 / $1,698.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $1,318.26
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $2,630.27 / $2,630.27
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,122.02 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $512.86 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $575.44 / $1,412.54