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Utah 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
$34.67 / $104.71 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $77.62 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $95.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $83.18 / $107.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $100.00 / $173.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $81.28 / $123.03
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $114.82 / $131.83
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $114.82 / $158.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $54.95 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $54.95 / $79.43