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New York 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

Facilitymedian $1,000 · 10th–90th $617$2,6300%10%10th90th$1,000Professionalmedian $813 · 10th–90th $603$1,9500%20%40%10th90th$813$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $1,148.15 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $691.83 / $1,096.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,445.44 / $2,884.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $812.83 / $2,187.76
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,202.26 / $1,202.26
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,202.26 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $831.76 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $1,548.82
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,398.83 / $5,623.41
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,445.44 / $2,754.23
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $812.83
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $851.14 / $912.01
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,380.38 / $1,380.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $758.58 / $3,981.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $954.99 / $2,398.83
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $851.14 / $891.25
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $851.14 / $912.01