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Alaska rates for HCPCS L2020

Knee-ankle-foot orthosis (KAFO), double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'AK' orthosis), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,522.57 / $2,522.57 / $2,522.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.86 / $830.86 / $830.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.53 / $830.86 / $885.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.68 / $423.68 / $423.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.25 / $2,797.50 / $4,417.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.68 / $423.68 / $830.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.53 / $830.86 / $1,669.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,423.26 / $1,469.10 / $3,672.75