go back

Michigan 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
$745.32 / $745.32 / $745.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.94 / $745.32 / $745.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,975.34 / $3,935.63 / $7,168.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.83 / $1,305.08 / $1,761.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.83 / $824.57 / $848.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.07 / $1,044.07 / $1,044.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.15 / $713.15 / $713.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.14 / $713.15 / $1,513.13
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$745.32 / $943.12 / $943.12
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.32 / $943.12 / $1,370.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.93 / $965.77 / $1,110.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.81 / $601.99 / $922.39