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Maryland 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
$66.20 / $82.94 / $411.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.41 / $66.64 / $101.50
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.00 / $59.00 / $59.00
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.67 / $110.95 / $159.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.91 / $55.35 / $88.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.50 / $66.50 / $77.67