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Kentucky rates for HCPCS L1630

Hip orthosis (HO), abduction control of hip joints, semi-flexible (Von Rosen type), custom fabricated

Facilitymedian $120 · 10th–90th $85–$3390%20%10th90th$120Professionalmedian $112 · 10th–90th $85–$1550%20%10th90th$112$100.0$200.0$500.0$1.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $112.20 / $154.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $199.53 / $208.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $112.20 / $123.03
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $263.03 / $338.84
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $245.47 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $338.84 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $154.88 / $1,000.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $128.82 / $165.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $93.33 / $125.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $97.72 / $151.36