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Illinois 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
$45.71 / $45.71 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $67.61 / $125.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $79.43 / $141.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $213.80 / $645.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $57.54 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $89.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $117.49 / $199.53
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $34.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $61.66 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $61.66 / $95.50