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Arizona 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
$564.87 / $608.67 / $1,019.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.50 / $1,443.21 / $2,609.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.76 / $1,331.68 / $1,814.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.15 / $713.15 / $713.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.60 / $520.60 / $1,513.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.58 / $1,019.38 / $6,073.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.09 / $569.38 / $857.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.61 / $569.38 / $857.68