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Rhode Island 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 / $1,324.67 / $1,395.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,326.94 / $4,493.43 / $5,319.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.13 / $1,236.61 / $2,068.14
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 / $1,618.14 / $1,618.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.17 / $1,173.93 / $1,956.55