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Iowa rates for HCPCS L1812

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.58 / $61.58 / $82.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.82 / $54.72 / $95.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.97 / $84.97 / $107.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.97 / $94.12 / $117.65
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.31 / $108.73 / $149.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.90 / $126.88 / $370.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.90 / $65.13 / $154.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.92 / $112.30 / $147.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.92 / $129.02 / $228.32
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.45 / $81.88 / $138.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.90 / $56.45 / $144.66
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.15 / $96.15 / $96.15
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.95 / $96.15 / $96.15