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Indiana 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
$524.81 / $524.81 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $549.54 / $870.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,071.52 / $1,348.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $630.96 / $1,096.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,288.25 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $794.33 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $524.81 / $758.58