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Alaska rates for HCPCS L2030

Knee-ankle-foot orthosis (KAFO), double upright, free ankle, solid stirrup, thigh and calf bands/cuffs, (double bar 'AK' orthosis), without knee joint, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $912.01 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $758.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $1,318.26 / $1,737.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,737.80 / $4,570.88
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,737.80 / $1,819.70
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,737.80 / $1,778.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $1,548.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $707.95 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,348.96 / $4,466.84