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Maryland 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
$980.66 / $1,028.13 / $1,873.06
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,457.67 / $1,457.67 / $1,637.94
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,677.25 / $2,396.07 / $3,450.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.49 / $1,195.36 / $1,905.41
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,321.36 / $1,321.36 / $1,677.25