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Maine 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
$517.86 / $715.68 / $715.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.67 / $1,358.65 / $2,518.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.75 / $664.73 / $664.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.83 / $740.83 / $866.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.80 / $540.80 / $740.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.65 / $954.65 / $954.65
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.91 / $715.68 / $715.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.16 / $588.23 / $1,352.76