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Idaho 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
$549.54 / $724.44 / $1,202.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,318.26 / $1,995.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,548.82 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $741.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $1,071.52 / $1,412.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,318.26 / $1,412.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $1,023.29 / $1,202.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,348.96 / $1,348.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $977.24 / $1,548.82
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,412.54 / $1,412.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $676.08 / $933.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $524.81 / $724.44