go back

North Dakota 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
$886.73 / $886.73 / $886.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.47 / $730.47 / $886.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,139.58 / $1,347.38 / $1,380.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,218.75 / $1,230.94 / $1,547.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.86 / $886.73 / $5,601.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.07 / $576.94 / $971.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.45 / $576.94 / $1,236.30