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Vermont 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
$662.17 / $662.17 / $764.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.15 / $713.15 / $997.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.60 / $713.14 / $760.25
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.15 / $713.15 / $997.34
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.60 / $713.14 / $760.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.31 / $803.81 / $1,568.69