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Connecticut 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
Facility
Modifier
Low / Median / High Price
$1,143.68 / $1,143.68 / $1,143.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.57 / $1,143.68 / $1,181.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,823.64 / $2,353.08 / $2,692.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.04 / $1,327.04 / $1,407.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,618.14 / $1,618.14 / $1,618.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.24 / $1,181.24 / $1,618.14
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.50 / $1,529.50 / $1,529.50
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,529.50 / $1,593.43 / $2,255.32
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.04 / $1,819.04 / $1,819.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.17 / $1,173.93 / $2,194.91