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Indiana rates for HCPCS L2036

Knee-ankle-foot orthosis (KAFO), full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,105.58 / $1,105.58 / $2,233.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.06 / $1,114.09 / $1,199.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,764.66 / $1,999.21 / $2,233.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,089.70 / $1,258.95 / $1,737.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,675.31 / $2,457.13 / $3,135.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,898.69 / $2,457.13 / $3,015.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,306.07 / $1,306.07 / $2,233.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.43 / $1,306.07 / $2,291.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.18 / $1,064.71 / $1,569.22