go back

Michigan 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
$602.56 / $602.56 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $575.44 / $912.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $3,162.28 / $6,025.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,047.13 / $1,096.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $741.31 / $1,230.27
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,995.26 / $2,238.72
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $851.14 / $1,288.25
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $741.31 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $831.76 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $501.19 / $758.58