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California 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
$40.61 / $66.64 / $422.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.75 / $66.64 / $194.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.37 / $109.77 / $135.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.63 / $206.25 / $464.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.50 / $67.73 / $121.95
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $173.30 / $309.45
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.11 / $194.20 / $452.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.42 / $88.85 / $88.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $64.86 / $94.72
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.69 / $87.23 / $161.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.82 / $102.45 / $248.81
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.15 / $695.21 / $695.21
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.53 / $702.53 / $907.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.00 / $247.00 / $247.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.72 / $120.49 / $146.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $88.85 / $124.41
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.25 / $276.25 / $276.25
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.69 / $117.09 / $117.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.17 / $55.35 / $139.04