go back

Iowa 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
$830.34 / $906.81 / $906.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.46 / $685.46 / $1,019.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.15 / $713.15 / $1,337.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.15 / $1,513.13 / $1,891.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.83 / $1,273.32 / $1,349.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.55 / $1,541.58 / $6,073.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.29 / $644.99 / $1,660.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,333.10 / $1,337.02 / $1,733.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.02 / $1,580.11 / $2,555.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.38 / $606.38 / $1,430.07
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,191.16 / $1,191.16 / $1,191.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.02 / $1,191.16 / $1,191.16