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Illinois 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
$63.75 / $63.75 / $302.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.00 / $66.64 / $121.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.67 / $88.67 / $88.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.53 / $293.43 / $1,094.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.47 / $94.27 / $94.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.27 / $88.85 / $124.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $84.33 / $143.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.23 / $127.13 / $173.66
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.25 / $161.25 / $161.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.67 / $138.11 / $145.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.13 / $61.88 / $106.22