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Arkansas rates for HCPCS L1810

Knee orthosis (KO), elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.05 / $66.98 / $94.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.67 / $66.98 / $67.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.39 / $96.39 / $96.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.02 / $137.66 / $152.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.95 / $110.95 / $146.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.95 / $110.95 / $110.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.33 / $88.85 / $96.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $88.85 / $94.14
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.85 / $110.85 / $110.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.90 / $55.35 / $74.62