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Maine 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
$1,028.13 / $1,428.28 / $1,428.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,092.83 / $2,711.45 / $5,026.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.04 / $1,407.46 / $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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.19 / $1,905.19 / $1,905.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,324.95 / $1,428.28 / $1,428.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.79 / $1,186.91 / $2,699.68