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Pennsylvania 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
$45.66 / $45.66 / $92.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.41 / $64.93 / $186.60
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.48 / $110.95 / $110.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.33 / $88.85 / $121.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $64.86 / $105.97
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.34 / $121.02 / $229.94
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.18 / $89.02 / $411.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.92 / $74.92 / $88.76
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.66 / $92.25 / $176.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.65 / $66.62 / $186.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.60 / $150.00 / $196.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.33 / $88.85 / $121.02
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $64.86 / $143.63
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.72 / $105.60 / $105.60
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.72 / $105.60 / $118.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.13 / $55.96 / $100.06