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Rhode Island 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
$515.17 / $625.62 / $699.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,667.07 / $2,251.58 / $2,665.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.70 / $619.65 / $1,036.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.00 / $740.83 / $740.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.80 / $740.83 / $740.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.58 / $588.23 / $980.39