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Pennsylvania 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
$986.10 / $986.10 / $3,816.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.33 / $1,091.00 / $1,349.13
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,824.49 / $2,396.07 / $2,396.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,618.14 / $1,618.14 / $2,451.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.24 / $1,181.24 / $2,146.55
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,255.32 / $2,451.42 / $4,657.72
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,677.25 / $1,677.25 / $1,677.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.10 / $986.10 / $3,816.21
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.33 / $1,132.96 / $1,554.26
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,039.40 / $3,495.40 / $4,829.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,618.14 / $1,618.14 / $2,451.42
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.24 / $1,181.24 / $2,837.63
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,713.09 / $2,280.61 / $2,280.61
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,713.09 / $2,280.61 / $2,333.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.24 / $1,195.36 / $1,992.29