go back

Iowa 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
$82.76 / $86.18 / $86.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.66 / $69.65 / $130.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.33 / $88.85 / $124.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.85 / $143.63 / $179.53
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.12 / $127.37 / $140.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.84 / $144.90 / $587.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.90 / $62.54 / $154.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.68 / $124.04 / $168.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.60 / $146.59 / $237.02
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.02 / $126.52 / $221.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.20 / $56.26 / $132.69
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.50 / $110.50 / $110.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.30 / $110.50 / $110.50