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Minnesota 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
$724.44 / $724.44 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $630.96 / $933.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,047.13 / $1,548.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,047.13 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $3,890.45 / $9,332.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,380.38 / $1,548.82
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,890.45 / $7,413.10
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,659.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,047.13 / $2,884.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $524.81 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $512.86 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $537.03 / $1,288.25