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Connecticut 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
$573.08 / $573.08 / $573.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.68 / $573.08 / $604.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.79 / $1,179.08 / $1,348.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.75 / $628.75 / $664.73
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 / $740.83
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.40 / $766.40 / $766.40
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.40 / $825.36 / $1,179.08
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.81 / $661.81 / $661.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.91 / $588.23 / $980.39