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Alaska rates for HCPCS L2034

Knee-ankle-foot orthosis (KAFO), full plastic, single upright, with or without free motion knee, medial-lateral rotation control, with or without free motion ankle, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,445.44 / $2,089.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,737.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $2,041.74 / $2,290.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $7,244.36
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,290.87 / $2,398.83
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,290.87 / $2,398.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $2,398.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,621.81 / $2,290.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,445.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,862.09 / $5,888.44