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Vermont 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
$1,148.29 / $1,148.29 / $1,324.95
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 / $1,725.02
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,618.14 / $1,618.14 / $1,618.14
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.24 / $1,618.14 / $1,725.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.62 / $1,393.90 / $2,720.30