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Connecticut 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
$56.61 / $56.61 / $56.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.67 / $56.61 / $66.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.26 / $116.46 / $133.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.73 / $67.73 / $70.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.33 / $88.85 / $88.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $64.86 / $88.85
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.70 / $75.70 / $75.70
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.70 / $78.66 / $111.34
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.98 / $80.98 / $80.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.34 / $58.10 / $96.84