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Arizona 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
$78.98 / $78.98 / $98.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.54 / $66.64 / $314.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.30 / $109.77 / $109.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.42 / $138.81 / $250.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.06 / $128.08 / $174.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.85 / $88.85 / $88.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $64.86 / $143.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.72 / $97.80 / $587.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.98 / $55.35 / $83.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.03 / $55.35 / $83.38