go back

Missouri 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
$630.96 / $630.96 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $660.69 / $1,479.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $4,365.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $707.95 / $1,148.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $707.95 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $707.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $977.24 / $6,025.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $602.56 / $7,762.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $977.24 / $977.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $588.84 / $870.96