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Maine 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
Professional
Modifier
Low / Median / High Price
$55.92 / $69.33 / $70.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.58 / $134.19 / $248.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.73 / $70.83 / $70.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.63 / $88.85 / $88.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $64.86 / $88.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.30 / $94.30 / $94.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.56 / $69.33 / $70.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.65 / $59.70 / $133.62