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Indiana rates for HCPCS L1812

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

Facilitymedian $78 · 10th–90th $45–$1150%50%10th90th$78Professionalmedian $62 · 10th–90th $41–$1230%10%20%10th90th$62$0.1$0.5$2.0$10.0$50.0$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
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $56.23 / $125.89
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $100.00 / $154.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $77.62 / $128.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $74.13 / $120.23
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $100.00 / $117.49
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $95.50 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $85.11 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $97.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $63.10 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $61.66 / $97.72