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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
$512.86 / $645.65 / $1,819.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,412.54 / $1,584.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $831.76
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,230.27
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $707.95 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $512.86 / $933.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $645.65 / $1,096.48