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Indiana 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
$1,211.44 / $1,211.44 / $2,447.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.84 / $1,226.49 / $1,325.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,933.64 / $2,190.64 / $2,447.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.00 / $1,327.04 / $1,791.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,865.54 / $2,692.40 / $3,671.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,080.48 / $2,692.40 / $3,304.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,618.14 / $1,618.14 / $2,447.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.24 / $1,618.14 / $2,510.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.56 / $1,170.13 / $1,657.86