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Vermont 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

Facilitymedian $1,175 · 10th–90th $933$1,8200%50%10th90th$1,175Professionalmedian $1,230 · 10th–90th $794$1,5490%20%10th90th$1,230$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,230.27 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $1,174.90
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $1,949.84 / $2,454.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,122.02 / $1,258.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,548.82 / $2,884.03