go back

Indiana rates for HCPCS L1810

Knee Orthosis 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 (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.39 / $61.39 / $227.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.03 / $63.75 / $75.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.99 / $111.02 / $124.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.50 / $67.73 / $93.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.43 / $136.44 / $186.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.43 / $136.44 / $167.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.33 / $88.85 / $124.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $88.85 / $124.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.90 / $59.29 / $83.98