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Minnesota 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
$1,552.07 / $1,552.07 / $1,552.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.72 / $1,552.07 / $1,669.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,913.51 / $2,233.75 / $3,110.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.00 / $2,122.06 / $2,233.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,306.07 / $6,892.17 / $19,142.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,589.75 / $2,745.14 / $3,288.98
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,091.80 / $6,612.70 / $15,072.78
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,589.75 / $2,589.75 / $2,664.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.40 / $2,233.75 / $11,140.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.18 / $1,144.66 / $2,299.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.18 / $1,144.66 / $2,903.88