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Rhode Island 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 / $685.46 / $804.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,918.54 / $2,591.23 / $3,067.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.14 / $713.11 / $1,192.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.15 / $713.15 / $784.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.60 / $713.14 / $713.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.98 / $701.91 / $1,128.28