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Indiana 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
$645.94 / $645.94 / $1,305.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.32 / $645.94 / $700.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.02 / $1,168.06 / $1,305.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.66 / $705.45 / $973.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.09 / $1,426.60 / $1,827.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.33 / $1,435.60 / $1,761.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.15 / $713.15 / $1,305.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.60 / $713.15 / $1,337.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.58 / $622.07 / $872.02