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Hawaii 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
$549.54 / $676.08 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,698.24 / $2,398.83
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $1,949.84 / $2,041.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,949.84 / $2,238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $707.95 / $724.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,318.26 / $2,089.30