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Arizona rates for HCPCS L1812

Knee orthosis (KO), elastic with joints, prefabricated, off-the-shelf

Facilitymedian $62 · 10th–90th $20–$1510%10%20%10th90th$62Professionalmedian $63 · 10th–90th $40–$1350%20%10th90th$63$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
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $64.57 / $141.25
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $89.13 / $89.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $74.13 / $138.04
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $67.61 / $131.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $85.11
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $52.48 / $281.84
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $54.95 / $512.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $56.23 / $61.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $54.95 / $87.10