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Maine rates for HCPCS L2037

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.16 / $1,518.62 / $1,518.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,225.21 / $2,882.97 / $5,344.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.53 / $1,197.44 / $1,197.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.51 / $1,172.51 / $1,838.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.93 / $855.93 / $1,172.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,025.70 / $2,025.70 / $2,025.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,408.75 / $1,518.62 / $1,518.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.12 / $1,248.18 / $3,464.32