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Oklahoma 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
$545.59 / $545.59 / $804.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.39 / $545.59 / $608.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.15 / $713.15 / $713.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.60 / $713.14 / $713.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.58 / $715.32 / $6,073.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.58 / $569.38 / $1,141.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.58 / $551.62 / $816.84