go back

Virginia 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
$54.86 / $54.86 / $118.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.41 / $54.86 / $73.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.95 / $110.95 / $117.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.73 / $67.73 / $87.11
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 / $99.86 / $133.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.72 / $68.23 / $126.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.00 / $138.69 / $184.80
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $83.73 / $138.69
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.00 / $83.73 / $138.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.03 / $55.35 / $83.38