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Maine 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
$592.89 / $823.64 / $823.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.86 / $1,563.61 / $2,898.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.45 / $728.30 / $728.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.15 / $713.15 / $997.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.60 / $520.60 / $713.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.67 / $1,098.67 / $1,098.67
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.05 / $823.64 / $823.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.05 / $812.73 / $1,356.95