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Idaho rates for HCPCS L1812

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

Facilitymedian $78 · 10th–90th $59–$1230%20%10th90th$78Professionalmedian $69 · 10th–90th $47–$1200%10%10th90th$69$50.0$100.0$200.0

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
$36.31 / $69.18 / $97.72
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $104.71 / $151.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $120.23 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $85.11
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $70.79 / $104.71
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $67.61 / $81.28
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $91.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $102.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $79.43
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $70.79 / $107.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $60.26 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $54.95 / $87.10