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Michigan 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

Facilitymedian $145 · 10th–90th $71$5010%10%20%10th90th$145Professionalmedian $74 · 10th–90th $54$1620%20%10th90th$74$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $70.79 / $162.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $371.54 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $128.82
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $89.13 / $138.04
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $234.42 / $263.03
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $97.72 / $162.18
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $89.13 / $89.13
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $89.13 / $123.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $102.33 / $151.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $58.88 / $89.13