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New York 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
$501.19 / $1,174.90 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $645.65 / $1,023.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $3,019.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $2,344.23
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,230.27 / $1,230.27
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $2,089.30 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $1,479.11
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $2,454.71 / $5,754.40
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,584.89 / $2,884.03
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $741.31
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $870.96 / $933.25
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,445.44 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $912.01 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $724.44 / $1,230.27
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $851.14 / $870.96
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $870.96 / $933.25