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Idaho 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
$599.61 / $1,322.67 / $1,322.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.15 / $713.15 / $954.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.60 / $713.14 / $760.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.58 / $1,064.03 / $1,510.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,359.47 / $1,434.99 / $1,510.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,128.47 / $1,359.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,322.67 / $1,475.12 / $2,212.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.35 / $1,057.35 / $1,586.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.42 / $569.38 / $1,009.29