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Vermont 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
$575.39 / $575.39 / $663.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.83 / $740.83 / $866.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.80 / $740.83 / $763.05
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.83 / $740.83 / $866.61
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.80 / $740.83 / $763.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.16 / $698.45 / $1,363.10