go back

Arkansas 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
Facility
Modifier
Low / Median / High Price
$641.33 / $641.33 / $641.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.86 / $641.33 / $641.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.10 / $1,318.37 / $1,464.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.28 / $1,141.28 / $1,268.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,268.57 / $1,268.57 / $1,268.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.15 / $713.15 / $923.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.60 / $713.14 / $901.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.58 / $564.29 / $903.03